1725 Wares Operator LLC
Organization Active NPI Assisted Living Facility · Bradenton, FL
NPI 1336706233 · NPPES record last updated Feb 4, 2020
Key facts
- NPI
- 1336706233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- 1725 WARES OPERATOR LLC
- Practice address
- 1725 Manatee Ave W
Bradenton, FL 34205-5924 - Phone
- (941) 746-5226
- NPI assigned
- May 26, 2019
- Organization subpart
- No
Authorized official
- Name
- Luan Morrow
- Title
- Operations Director
- Phone
- (941) 320-4210
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1725 Manatee Ave W
Bradenton, FL 34205-5924
Mailing address
1725 Manatee Ave W
Bradenton, FL 34205-5924
Phone (941) 746-5226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104728200 | Medicaid | FL | |
| 10653 | Other | FL | AHCA |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.