Organization Active NPI

Continuum Healthcare Providers West Florida LLC

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1609342708
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CONTINUUM HEALTHCARE PROVIDERS WEST FLORIDA LLC
Practice address
5008 Sr 64 East
Bradenton, FL 34208
Phone
(813) 928-7939
Fax
(813) 677-0500
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Michael Damato, APRNNPI 1407270788
Title
Manager/Provider
Phone
(941) 896-5845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

5008 Sr 64 East
Bradenton, FL 34208

Mailing address

5008 E Sr 64
Bradenton, FL 34208-5522
Phone (941) 896-5845

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BRADENTON Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190227000418 FL Part B Supplier - Clinic/Group Practice 1658610209 Receives reassigned benefits from 2 practitioners
Practice locations: Bradenton, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2164304Continuum Healthcare Providers West Florida LLC5008 Sr 64 East, Bradenton, FL 34208Certificate of waiverApr 1, 2027

National Provider Directory

National Provider Directory

Locations

5008 E State Road 64
Bradenton, FL 34208
Phone (941) 896-5845

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21347/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1609342708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 E SR 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085522",
            "telephone_number": "941-896-5845",
            "fax_number": "941-896-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 SR 64 EAST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "813-928-7939",
            "fax_number": "813-677-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUUM HEALTHCARE PROVIDERS WEST FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "DAMATO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER/PROVIDER",
        "authorized_official_telephone_number": "941-896-5845",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BRADENTON",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5008 SR 64 East",
            "city": "BRADENTON",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.