Organization Active NPI

Donna Elaine Harrell

  • Adult Care Home Facility
  • Land O' Lakes, FL
National Provider Identifier
1164813812
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6906715 Issued in FL
Legal business name
DONNA ELAINE HARRELL
Practice address
4915 Churchill PL
Land O Lakes, FL 34639-6125
Phone
(727) 466-1888
Fax
(727) 466-6051
NPI assigned
Feb 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Ms. Donna Elaine Harrell
Title
Adult Family Care Home
Phone
(727) 466-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6906715 FL Primary

Addresses

Primary practice location

4915 Churchill PL
Land O Lakes, FL 34639-6125

Mailing address

4915 Churchill PL
Land O Lakes, FL 34639-6125
Phone (727) 466-1888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1164813812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 CHURCHILL PL",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346396125",
            "telephone_number": "727-466-1888",
            "fax_number": "727-466-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 CHURCHILL PL",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346396125",
            "telephone_number": "727-466-1888",
            "fax_number": "727-466-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA ELAINE HARRELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ADULT FAMILY CARE HOME",
        "authorized_official_telephone_number": "727-466-1888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.