Organization Active NPI

Powell Supportive Services Inc

Doing business as Bradenton Palms Alf I

  • Assisted Living Facility
  • Bradenton, FL
National Provider Identifier
1235531690
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12389 Issued in FL
Legal business name
POWELL SUPPORTIVE SERVICES INC
Doing business as
Bradenton Palms Alf I
Practice address
802 71St St NW
Bradenton, FL 34209-1515
Phone
(813) 767-3808
NPI assigned
Sep 17, 2014
Last updated
Sep 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Natasha Powell
Title
Owner
Phone
(813) 767-3808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12389 FL Primary

Addresses

Primary practice location

802 71St St NW
Bradenton, FL 34209-1515

Mailing address

802 71St St NW
Bradenton, FL 34209-1515
Phone (813) 767-3808

Other names 1

  • BRADENTON PALMS ALF I Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bradenton Palms Alf I2 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": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1235531690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 71ST ST NW",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342091515",
            "telephone_number": "813-767-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 71ST ST NW",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342091515",
            "telephone_number": "813-767-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL SUPPORTIVE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-767-3808"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRADENTON PALMS ALF I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.