Organization Active NPI

Northwood Manor LLC

  • Assisted Living Facility
  • Wesley Chapel, FL
National Provider Identifier
1154753911
Registry record updated Aug 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11872 Issued in FL
Legal business name
NORTHWOOD MANOR LLC
Practice address
27737 Breakers Dr
Wesley Chapel, FL 33544-6685
Phone
(813) 929-1656
Fax
(813) 428-5164
NPI assigned
Aug 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2013

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

Authorized official

Name
Miss Shereve L Adams, RT
Title
Owner/ Aministrator
Phone
(813) 929-1656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11872 FL Primary

Addresses

Primary practice location

27737 Breakers Dr
Wesley Chapel, FL 33544-6685

Mailing address

27737 Breakers Dr
Wesley Chapel, FL 33544-6685
Phone (813) 929-1656

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375574400000",
    "number": "1154753911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27737 BREAKERS DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446685",
            "telephone_number": "813-929-1656",
            "fax_number": "813-428-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27737 BREAKERS DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446685",
            "telephone_number": "813-929-1656",
            "fax_number": "813-428-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-04",
        "last_updated": "2013-08-04",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SHEREVE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ AMINISTRATOR",
        "authorized_official_telephone_number": "813-929-1656",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.