Organization Active NPI

Adept Retirement, Inc

  • Assisted Living Facility
  • Clearwater, FL
National Provider Identifier
1861643041
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7828 Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6931634 96MedicaidFL
6931634 98MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.