Smith Health Care Properties - Clearwater

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5149 Issued in FL

Legal business name

SMITH HEALTH CARE PROPERTIES - CLEARWATER

Doing business as

Edgewater Retirement Manor

Practice address

2057 Edgewater Dr
Clearwater, FL 33755-1028

Phone

(727) 216-6517

Fax

(727) 442-1399

NPI assigned

Feb 4, 2014

Organization subpart

No

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

Authorized official

Name

Benjamin A Smith IV

Title

Managing Member

Phone

(310) 989-7992

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edgewater Retirement Manor Doing business as

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1245654706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 EDGEWATER DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551028",
            "telephone_number": "727-216-6517",
            "fax_number": "727-442-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 EDGEWATER DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551028",
            "telephone_number": "727-216-6517",
            "fax_number": "727-442-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH HEALTH CARE PROPERTIES - CLEARWATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "310-989-7992",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "5149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000565700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewater Retirement Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Athina Smalios, LCSW
• Smart ER Urgent Care LLC
• Amanda Smay, PA-C
• Amber Jean Smetzer
• Smile Bright Dental, CW, LLC
• Smith Winquist & Associates MD PA
• Smith Winquist & Associates MD PA
• Marquita Smith-Poole, RN
• Jessiah Kenneth Smith-Shearer, LMT
• Amber Smith, PA

• Assisted Living Facility in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Assisted Living Facility in Florida

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