NPIMap

Organization Active NPI

Euphorian Healthcare Innovation LLC

  • Assisted Living Facility (Mental Illness)
  • Clearwater, FL
National Provider Identifier
1649941915
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
EUPHORIAN HEALTHCARE INNOVATION LLC
Doing business as
Euphorian Manor
Practice address
2179 Dodge St
Clearwater, FL 33760-1802
Phone
(727) 600-8386
Fax
(727) 600-8386
NPI assigned
Sep 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Christopher Rain Adkinson
Title
Administrator
Phone
(727) 307-7150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

2179 Dodge St
Clearwater, FL 33760-1802

Mailing address

2179 Dodge St
Clearwater, FL 33760-1802
Phone (727) 600-8386

Other names 1

  • Euphorian Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Euphorian Healthcare Innovation LLC2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1649941915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 DODGE ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601802",
            "telephone_number": "727-600-8386",
            "fax_number": "727-600-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 DODGE ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601802",
            "telephone_number": "727-600-8386",
            "fax_number": "727-600-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUPHORIAN HEALTHCARE INNOVATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "ADKINSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RAIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-307-7150"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Euphorian Manor",
            "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 Sep 29, 2021; 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.