Organization Active NPI

The Cottages of Bradenton

  • Assisted Living Facility
  • Bradenton, FL
National Provider Identifier
1790114858
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7835 Issued in FL
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

Updated by the provider on Nov 8, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001803700MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.