Organization Active NPI

Cobbleston Manor ,Alf

  • Assisted Living Facility
  • Spring Hill, FL
National Provider Identifier
1811451404
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COBBLESTON MANOR ,ALF
Practice address
208 Cobblestone Dr
Spring Hill, FL 34606-6331
Phone
(727) 688-9549
Fax
(352) 606-2468
NPI assigned
Jan 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Margaret Maria MorzyszekNPI 1760089247
Title
Administrator
Phone
(727) 688-9549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

208 Cobblestone Dr
Spring Hill, FL 34606-6331

Mailing address

208 Cobblestone Dr
Spring Hill, FL 34606-6331
Phone (727) 688-9549

Other identifiers 2

IdentifierTypeStateIssuer
101363800MedicaidFL
101363800MedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1811451404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COBBLESTONE DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346066331",
            "telephone_number": "727-688-9549",
            "fax_number": "352-556-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COBBLESTONE DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346066331",
            "telephone_number": "727-688-9549",
            "fax_number": "352-606-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBLESTON MANOR ,ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "MORZYSZEK",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-688-9549"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101363800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101363800",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.