Active NPI
Adept Retirement, Inc
- Assisted Living Facility
- Clearwater, FL
National Provider Identifier
1861643041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL7828
- Legal business name
- ADEPT RETIREMENT, INC
- Practice address
- 2700 State Road 590
Clearwater, FL 33759-2319 - Phone
- (727) 797-2523
- Fax
- (727) 797-2523
- NPI assigned
- Oct 6, 2008
- Last updated
- Oct 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Mukalel
- Title
- Administrator
- Phone
- (813) 685-1713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL7828 | FL | Primary |
Addresses
Primary practice location
2700 State Road 590
Clearwater, FL 33759-2319
Mailing address
620 Lakemont Dr
Brandon, FL 33510-2570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6931634 96 | Medicaid | FL | |
| 6931634 98 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223251200000",
"number": "1861643041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 LAKEMONT DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335102570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 STATE ROAD 590",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337592319",
"telephone_number": "727-797-2523",
"fax_number": "727-797-2523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADEPT RETIREMENT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-06",
"last_updated": "2008-10-06",
"status": "A",
"authorized_official_last_name": "MUKALEL",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "813-685-1713"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL7828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6931634 96",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6931634 98",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.