Yard 58 LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

YARD 58 LLC

Practice address

119 Belleair PL
Clearwater, FL 33756-2601

Phone

(727) 564-6494

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Antoinette Reeves

Title

Owner

Phone

(727) 564-6494

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1326759762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BELLEAIR PL",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BELLEAIR PL",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562601",
            "telephone_number": "727-564-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARD 58 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-564-6494"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12345",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "home",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "119 Belleair Pl",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337562601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Del Rosario Yanes, PT
• Fan Yang, D.C
• Jamie Yanow
• Jone Yany, RPH
• Yarbrough & Larkin Orthodontics, LLC (Sunset Orthodontics)
• Suraiya Yasmin, MD
• Jennie Lynn Yates, D.C.
• Neda Yazdani
• Janie E Yazdi
• Kimberly Yeany

• Developmental Disabilities Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.