Organization Active NPI

Moments Assisted Living Facility LLC

  • Assisted Living Facility
  • Dunedin, FL
National Provider Identifier
1720747017
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Dec 14, 2021

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.