Organization Active NPI

4 JS Inc

Doing business as Woodcrest Manor ALF

  • Assisted Living Facility
  • Clearwater, FL
National Provider Identifier
1619964608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5034 Issued in FL
Legal business name
4 JS INC
Doing business as
Woodcrest Manor ALF
Practice address
1735 Jeffords St
Clearwater, FL 33756-4560
Phone
(727) 447-8558
Fax
(727) 447-8558
NPI assigned
Oct 4, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Nilda F Rivera, BSMT
Title
President
Phone
(727) 686-4223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5034 FL Primary

Addresses

Primary practice location

1735 Jeffords St
Clearwater, FL 33756-4560

Mailing address

1735 Jeffords St
Clearwater, FL 33756-4560
Phone (727) 447-8558

Other names 1

  • Woodcrest Manor ALF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
4 JS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619964608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 JEFFORDS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564560",
            "telephone_number": "727-447-8558",
            "fax_number": "727-447-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 JEFFORDS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564560",
            "telephone_number": "727-447-8558",
            "fax_number": "727-447-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 JS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "NILDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-686-4223",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSMT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "5034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodcrest Manor ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.