Lovely Care Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12322 Issued in FL

Legal business name

LOVELY CARE MANOR LLC

Practice address

2869 Sarah Dr
Clearwater, FL 33759-2010

Phone

(727) 754-5309

NPI assigned

Dec 6, 2013

Organization subpart

No

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

Authorized official

Name

Anee Phouthavong

Title

Owner

Phone

(727) 754-5309

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1134550718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 SARAH DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 SARAH DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592010",
            "telephone_number": "727-754-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELY CARE MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "PHOUTHAVONG",
        "authorized_official_first_name": "ANEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-754-5309"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008879500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Michelle Loupe
• Lourdes T Santiago M D P a
• Lourdes T Santiago M.D.P.a.
• Monique Love
• Brooke Lovekamp, LCSW
• Deric Victor Lovett, DC
• Gordon Brian Lovett, D.C. FIAMA
• Charlotte Diane Lowe, CRNA
• Lisa Ann Lowe, APRN
• Michele Young Lowman, CRNA

• Assisted Living Facility in Clearwater, FL
• Providers in Clearwater, 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 Dec 6, 2013; 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.