Organization Active NPI

Family Extended Care of Winter Haven, Inc.

  • Assisted Living Facility
  • Winter Haven, FL
National Provider Identifier
1730385246
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8947 Issued in FL
Legal business name
FAMILY EXTENDED CARE OF WINTER HAVEN, INC.
Practice address
625 Overlook Dr
Winter Haven, FL 33884-1626
Phone
(863) 324-2212
Fax
(863) 318-8400
NPI assigned
Jun 22, 2007
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. Mary Parrett
Title
Director of Operations
Phone
(941) 342-0566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8947 FL Primary

Addresses

Primary practice location

625 Overlook Dr
Winter Haven, FL 33884-1626

Mailing address

625 Overlook Dr
Winter Haven, FL 33884-1626
Phone (863) 324-2212

Other names 1

  • The Hawthorne Inn Doing business as

National Provider Directory

National Provider Directory

Locations

625 Overlook Dr
Winter Haven, FL 33884
Phone (863) 318-1315

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730385246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 OVERLOOK DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338841626",
            "telephone_number": "863-324-2212",
            "fax_number": "863-318-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 OVERLOOK DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338841626",
            "telephone_number": "863-324-2212",
            "fax_number": "863-318-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EXTENDED CARE OF WINTER HAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARRETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "941-342-0566",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hawthorne Inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, 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.