Organization Active NPI

Shirley Wright Dba Clobran Assisted Living Facility

  • Assisted Living Facility (Mental Illness)
  • Ocala, FL
National Provider Identifier
1265836985
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL10825 Issued in FL
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 FACILITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1295038701MedicaidFL

Other names 1

  • Shirley Wright Doing business as

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.

Verify at the official NPI Registry.