Konrad McCree Jr

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

KONRAD MCCREE JR

Practice address

8945 Enchantment Dr
Largo, FL 33773-4802

Phone

(727) 271-7129

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Konrad McCree Jr.

Title

Administrator

Phone

(727) 271-7129

Specialties & licenses 1

Addresses

Other names 1

• Assisted Living of Clearwater Doing business as

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1851735724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 CLEARVIEW LAKE DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551612",
            "telephone_number": "727-271-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 ENCHANTMENT DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337734802",
            "telephone_number": "727-271-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONRAD MCCREE JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "MCCREE",
        "authorized_official_first_name": "KONRAD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-271-7129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Living of Clearwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dean Knoblach, HAS
• Ronald C Kobernick, D.D.S., M.SC.D.
• Nicole Lyn Koda, APRN
• Jason Bruce Kombrinck, PT
• Komo Therapy, LLC
• Adam Kopiec, MD
• Allexes Koroleva
• Ana Carolina Koutsothanasis, MD
• Sandra M Kozlowski, P.A.-C.
• Dorjan Kraja, CRC, RMHCI

• Adult Care Home Facility in Largo, FL
• Providers in Largo, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.