Active NPI
Shirley Wright Dba Clobran Assisted Living Facility
- Assisted Living Facility (Mental Illness)
- Ocala, FL
National Provider Identifier
1265836985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- AL10825
- Legal business name
- SHIRLEY WRIGHT DBA CLOBRAN ASSISTED LIVING FACILITY
- Practice address
- 3 Clear PL
Ocala, FL 34472-2310 - Phone
- (352) 680-1959
- Fax
- (352) 687-1806
- NPI assigned
- Oct 9, 2014
- Organization subpart
- Yes
- Parent organization
- SHIRLEY WRIGHT DBA CLOBRAN ASSISTED LIVING FACILITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shirley May Wright
- Title
- Adminintrator
- Phone
- (352) 680-1959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | AL10825 | FL | Primary |
Addresses
Primary practice location
3 Clear PL
Ocala, FL 34472-2310
Mailing address
4405 SW 102ND Lane Rd
Ocala, FL 34476-4143
Phone (352) 873-8492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295038701 | Medicaid | FL |
Other names 1
- Shirley Wright
National Provider Directory
National Provider Directory- Part of
- Shirley Wright Dba Clobran Assisted Living Facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412812800000",
"number": "1265836985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 SW 102ND LANE RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344764143",
"telephone_number": "352-873-8492",
"fax_number": "352-873-8492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CLEAR PL",
"city": "OCALA",
"state": "FL",
"postal_code": "344722310",
"telephone_number": "352-680-1959",
"fax_number": "352-687-1806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIRLEY WRIGHT DBA CLOBRAN ASSISTED LIVING FACILITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHIRLEY WRIGHT DBA CLOBRAN ASSISTED LIVING FACILITY",
"enumeration_date": "2014-10-09",
"last_updated": "2014-10-09",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "MAY",
"authorized_official_title_or_position": "ADMININTRATOR",
"authorized_official_telephone_number": "352-680-1959",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "FL",
"license": "AL10825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295038701",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shirley Wright",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.