Assisted Living of Dunedin LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL 7292 Issued in FL

Legal business name

ASSISTED LIVING OF DUNEDIN LLC

Doing business as

Dunedin Assisted Living Facility

Practice address

534 Howell St
Dunedin, FL 34698-4925

Phone

(727) 453-1970

Fax

(727) 736-4957

NPI assigned

Nov 18, 2008

Last updated

Sep 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maryla B Hawekotte

Title

Administrator

Phone

(727) 453-1970

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dunedin Assisted Living Facility Doing business as

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1184879173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 HOWELL ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984925",
            "telephone_number": "727-453-1970",
            "fax_number": "727-736-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 HOWELL ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984925",
            "telephone_number": "727-453-1970",
            "fax_number": "727-736-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING OF DUNEDIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "HAWEKOTTE",
        "authorized_official_first_name": "MARYLA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-453-1970"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL 7292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142950700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunedin Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility (Mental Illness) in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.