Organization Active NPI

Oak Tree Manor, Inc.

  • Assisted Living Facility
  • Seminole, FL
National Provider Identifier
1487426532
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OAK TREE MANOR, INC.
Practice address
7770 128TH St
Seminole, FL 33776-4100
Phone
(727) 398-1286
Fax
(727) 499-0956
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Christine Marie Gibree
Title
Administrator/Owner
Phone
(727) 398-1286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7770 128TH St
Seminole, FL 33776-4100

Mailing address

1114 18TH St SW
Largo, FL 33770-4800
Phone (727) 398-1286

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1487426532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 18TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704800",
            "telephone_number": "727-398-1286",
            "fax_number": "727-499-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 128TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337764100",
            "telephone_number": "727-398-1286",
            "fax_number": "727-499-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "GIBREE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "727-398-1286"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.