Organization Active NPI

20/30 Sunrise Manor Inc.

  • Assisted Living Facility
  • Clearwater, FL
National Provider Identifier
1760649891
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 11240 Issued in FL
Legal business name
20/30 SUNRISE MANOR INC.
Practice address
2030 N Highland Ave
Clearwater, FL 33755-1323
Phone
(727) 442-3767
Fax
(727) 412-8618
NPI assigned
May 16, 2008
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Mr. Ernest E. Bell
Title
Owner
Phone
(727) 430-4428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 11240 FL Primary

Addresses

Primary practice location

2030 N Highland Ave
Clearwater, FL 33755-1323

Mailing address

2030 N Highland Ave
Clearwater, FL 33755-1323
Phone (727) 442-3767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1760649891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 N HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551323",
            "telephone_number": "727-442-3767",
            "fax_number": "727-412-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551323",
            "telephone_number": "727-442-3767",
            "fax_number": "727-412-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20/30 SUNRISE MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-430-4428",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 11240",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 16, 2008; 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.