Organization Active NPI

Comfort Manor Inc.

  • Assisted Living Facility
  • St Petersburg, FL
National Provider Identifier
1174691265
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10648 Issued in FL
Legal business name
COMFORT MANOR INC.
Practice address
8087 25TH Ave N
Saint Petersburg, FL 33710-3627
Phone
(727) 384-4739
Fax
(727) 564-9653
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Mr. Ravi Kumar
Title
Administrator
Phone
(727) 637-1870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10648 FL Primary

Addresses

Primary practice location

8087 25TH Ave N
Saint Petersburg, FL 33710-3627

Mailing address

8087 25TH Ave N
Saint Petersburg, FL 33710-3627
Phone (727) 384-4739

National Provider Directory

National Provider Directory
Tax ID family
Caring Angels2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1174691265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8087 25TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337103627",
            "telephone_number": "727-384-4739",
            "fax_number": "727-564-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8087 25TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337103627",
            "telephone_number": "727-384-4739",
            "fax_number": "727-564-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-637-1870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.