NPIMap

Organization Active NPI

Clermont Alf Investors, LLC

Doing business as Superior Residences of Clermont

  • Assisted Living Facility
  • Clermont, FL
National Provider Identifier
1255752911
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10160 Issued in FL
Legal business name
CLERMONT ALF INVESTORS, LLC
Doing business as
Superior Residences of Clermont
Practice address
1600 Hunt Trace Blvd
Clermont, FL 34711-5184
Phone
(352) 394-5549
NPI assigned
Dec 26, 2013
Last updated
Dec 26, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SUPERIOR RESIDENCES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Dennis McCarthy
Title
Cio
Phone
(352) 686-3831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10160 FL Primary

Addresses

Primary practice location

1600 Hunt Trace Blvd
Clermont, FL 34711-5184

Mailing address

1600 Hunt Trace Blvd
Clermont, FL 34711-5184
Phone (352) 394-5549

Other identifiers 1

IdentifierTypeStateIssuer
10160OtherFLAHCA

Other names 1

  • Superior Residences of Clermont Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clermont Alf Investors LLC2 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.

Locations

1600 Hunt Trace Blvd
Clermont, FL 34711
Phone (352) 394-5549

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1255752911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HUNT TRACE BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115184",
            "telephone_number": "352-394-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HUNT TRACE BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115184",
            "telephone_number": "352-394-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERMONT ALF INVESTORS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPERIOR RESIDENCES, INC",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "352-686-3831"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "10160",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Residences of Clermont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.