The Cottages of PT Richey, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5993 Issued in FL

Legal business name

THE COTTAGES OF PT RICHEY, INC.

Practice address

5905 Pinehill Rd
Port Richey, FL 34668-6615

Phone

(727) 845-0527

Fax

(727) 842-9485

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Matthew Klinowski

Title

President

Phone

(727) 845-0527

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Cottages of Port Richey Other name

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1790963593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 PINEHILL RD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686615",
            "telephone_number": "727-845-0527",
            "fax_number": "727-842-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 PINEHILL RD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686615",
            "telephone_number": "727-845-0527",
            "fax_number": "727-842-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COTTAGES OF PT RICHEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "KLINOWSKI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-845-0527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693694689",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Cottages of Port Richey",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.