Clarkes Quality Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7293 Issued in FL

Legal business name

CLARKES QUALITY CARE, LLC

Doing business as

Crestwood Manor

Practice address

2214 Valrico Forest Dr
Valrico, FL 33594-3709

Phone

(813) 215-5156

NPI assigned

May 30, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Millicent Marie Miller-Clarke

Title

Owner

Phone

(813) 215-5156

Specialties & licenses 1

Addresses

Other names 1

• Crestwood Manor Doing business as

Locations

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1255778312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 CRESTWOOD RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233901",
            "telephone_number": "941-474-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 VALRICO FOREST DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943709",
            "telephone_number": "813-215-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKES QUALITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "MILLER-CLARKE",
        "authorized_official_first_name": "MILLICENT",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-215-5156",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestwood Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Valrico, FL
• Providers in Valrico, 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 May 30, 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.