Elevated Estates Edwinola

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELEVATED ESTATES EDWINOLA

Practice address

14235 Edwinola Way
Dade City, FL 33523-3763

Phone

(352) 567-6500

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Prescott

Title

Consultant

Phone

(727) 919-0396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1831812627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7044 FALLBROOK CT",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14235 EDWINOLA WAY",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335233763",
            "telephone_number": "352-567-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED ESTATES EDWINOLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "727-919-0396"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikylah Duveste
• Dva Healthcare Renal Care Inc (Dade City Dialysis)
• East Pasco Speech Services
• Mabel Z Echeandia, M.D
• Edwin Colon, MD PA (Invasive Pain Management Clinic)
• Amber Ellerin
• Linda F Elmore
• Emergency Services of Zephyrhills PA
• Jessica Lynn Faber, PMNHP
• Ashley Feehan, MASSAGE THERAPIST

• Assisted Living Facility in Dade City, FL
• Providers in Dade City, 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 Sep 26, 2022; 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.