Christian Manor of Clearwater

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9781 Issued in FL

Legal business name

CHRISTIAN MANOR OF CLEARWATER

Practice address

1845 N Keene Rd
Clearwater, FL 33755-2314

Phone

(727) 447-8935

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Iracema Drysdale

Title

Owner

Phone

(727) 447-8935

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1881020055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 N KEENE RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337552314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 N KEENE RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337552314",
            "telephone_number": "727-447-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN MANOR OF CLEARWATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "DRYSDALE",
        "authorized_official_first_name": "IRACEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-447-8935"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Choma
• Umesh Choudhry, M.D.
• Karen Marie Chouinard, B.A.
• Adrian Chow, MD
• Dale Keith Christensen
• Christian Manor of Clearwater Inc
• Christopher E. Pettet, D.C. P.a. (Sunset Chiropractic Center)
• Christopher L Ross DMD Ms PA
• Chrysalis Counseling Florida LLC
• Stephanie M Chu, PA-C

• Assisted Living Facility in Clearwater, FL
• Providers in Clearwater, 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 19, 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.