Organization Active NPI

Normandy Manor

  • Assisted Living Facility
  • Clearwater, FL
National Provider Identifier
1679915995
Registry record updated Jul 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL5194 Issued in FL
Legal business name
NORMANDY MANOR
Practice address
1654 Midnight Pass Way
Clearwater, FL 33765-1820
Phone
(727) 797-9461
Fax
(727) 723-1524
NPI assigned
Jul 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2013

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

Authorized official

Name
Mrs. Novelyn Lao Beldia, LPN
Title
Administrator
Phone
(727) 797-9461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL5194 FL Primary

Addresses

Primary practice location

1654 Midnight Pass Way
Clearwater, FL 33765-1820

Mailing address

1103 Normandy Rd
Clearwater, FL 33764-4825
Phone (727) 797-9461

Other identifiers 2

IdentifierTypeStateIssuer
692468900MedicaidFL
140638800MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374969600000",
    "number": "1679915995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 NORMANDY RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337644825",
            "telephone_number": "727-797-9461",
            "fax_number": "727-723-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 MIDNIGHT PASS WAY",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651820",
            "telephone_number": "727-797-9461",
            "fax_number": "727-723-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMANDY MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-28",
        "last_updated": "2013-07-28",
        "status": "A",
        "authorized_official_last_name": "BELDIA",
        "authorized_official_first_name": "NOVELYN",
        "authorized_official_middle_name": "LAO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-797-9461",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692468900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140638800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 28, 2013; 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.