Organization Active NPI

Connerton Court

  • Assisted Living Facility
  • Land O' Lakes, FL
National Provider Identifier
1881023547
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12268 Issued in FL
Legal business name
CONNERTON COURT
Practice address
21021 Betel Palm LN
Land O Lakes, FL 34638-2571
Phone
(813) 996-9919
NPI assigned
Nov 4, 2013
Last updated
Nov 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Mr. Robert S Bennett, MBA
Title
Manager
Phone
(813) 545-0682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12268 FL Primary

Addresses

Primary practice location

21021 Betel Palm LN
Land O Lakes, FL 34638-2571

Mailing address

21021 Betel Palm LN
Land O Lakes, FL 34638-2571
Phone (813) 996-9919

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1881023547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21021 BETEL PALM LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382571",
            "telephone_number": "813-996-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21021 BETEL PALM LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382571",
            "telephone_number": "813-996-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNERTON COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-545-0682",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.