Active NPI
The Cottages of Bradenton
- Assisted Living Facility
- Bradenton, FL
National Provider Identifier
1790114858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL7835
- Legal business name
- THE COTTAGES OF BRADENTON
- Practice address
- 5700 24TH St E
Bradenton, FL 34203-4940 - Phone
- (941) 755-0443
- Fax
- (941) 755-3994
- NPI assigned
- Nov 8, 2013
- 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
- Mrs. Katelynn Darlene Holton
- Title
- Administrator
- Phone
- (863) 245-6681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL7835 | FL | Primary |
Addresses
Primary practice location
5700 24TH St E
Bradenton, FL 34203-4940
Mailing address
5700 24TH St E
Bradenton, FL 34203-4940
Phone (941) 755-0443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001803700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
5700 24th St E
Bradenton, FL 34203
Phone (941) 527-0259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383868800000",
"number": "1790114858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 24TH ST E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342034940",
"telephone_number": "941-755-0443",
"fax_number": "941-755-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 24TH ST E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342034940",
"telephone_number": "941-755-0443",
"fax_number": "941-755-3994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE COTTAGES OF BRADENTON",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A",
"authorized_official_last_name": "HOLTON",
"authorized_official_first_name": "KATELYNN",
"authorized_official_middle_name": "DARLENE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "863-245-6681",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL7835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001803700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.