Hampton Manor Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10647 Issued in FL

Legal business name

HAMPTON MANOR INC

Practice address

1731 SW 2ND Ave
Suit C
Ocala, FL 34471

Phone

(352) 387-1830

Fax

(352) 873-0237

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Peder L Johnsen

Title

President

Phone

(352) 387-1830

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1114184512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 SW 2ND AVE",
            "address_2": "SUIT C",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-387-1830",
            "fax_number": "352-873-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 SW 2ND AVE",
            "address_2": "SUIT C",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-387-1830",
            "fax_number": "352-873-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "PEDER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-387-1830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14400801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hampton Alf at 24TH Road, LLC
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• Hampton Alf at Deerwood, LLC
• Hampton Deerwood Alf, LLC
• Hampton Manor Gardens Inc
• Hampton Manor of Deerwood LLC
• Hampton Manor of Pasco Inc
• Hampton MGMT. Corp of Belleview
• Hampton Senior Managment Inc
• Xiaodong Han, ACUPUNCTUREPHYSICIAN

• Assisted Living Facility in Ocala, FL
• Providers in Ocala, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.