Upside Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

UPSIDE LIVING

Practice address

2119 Little Brook LN
Clearwater, FL 33763-2416

Phone

(727) 492-2237

NPI assigned

May 17, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul Parcenue Holmes, PARAMEDIC

Title

Partner/ Operator

Phone

(727) 492-2237

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1104517465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 LITTLE BROOK LN",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632416",
            "telephone_number": "727-492-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 LITTLE BROOK LN",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632416",
            "telephone_number": "727-492-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSIDE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "PARCENUE",
        "authorized_official_title_or_position": "PARTNER/ OPERATOR",
        "authorized_official_telephone_number": "727-492-2237",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.