Active NPI
Moments Assisted Living Facility LLC
- Assisted Living Facility
- Dunedin, FL
National Provider Identifier
1720747017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MOMENTS ASSISTED LIVING FACILITY LLC
- Practice address
- 3240 County Road 1
Dunedin, FL 34698-9208 - Phone
- (727) 738-5392
- Fax
- (727) 738-5392
- NPI assigned
- Dec 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Robert Daso
- Title
- Ceo/ Administrator
- Phone
- (813) 279-9232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
3240 County Road 1
Dunedin, FL 34698-9208
Mailing address
2143 Burnice Dr
Clearwater, FL 33764-4859
Phone (727) 738-5392
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639440000000",
"number": "1720747017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2143 BURNICE DR",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337644859",
"telephone_number": "727-738-5392",
"fax_number": "727-738-5392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 COUNTY ROAD 1",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346989208",
"telephone_number": "727-738-5392",
"fax_number": "727-738-5392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMENTS ASSISTED LIVING FACILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-14",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A",
"authorized_official_last_name": "DASO",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "CEO/ ADMINISTRATOR",
"authorized_official_telephone_number": "813-279-9232"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.