Elm Tree Lodge

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

AL8589 Issued in FL

Legal business name

ELM TREE LODGE

Practice address

6205 Viola Lane
New Port Richey, FL 34653

Phone

(727) 845-0609

NPI assigned

Dec 13, 2013

Organization subpart

Yes

Parent organization

ASSISTED LIVING OF PASCOAs reported in NPPES

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

Authorized official

Name

Marge Coffey

Title

Owner

Phone

(727) 845-0609

Specialties & licenses 1

Addresses

Tax ID family

Elm Tree Lodge2 organizations share this tax ID, including this one

Part of

Elm Tree Lodge

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Assisted Living of Pasco, Inc

  • Assisted Living Facility
  • New Port Richey, FL
  • NPI 1982878534
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Assisted Living of Pasco, Inc

  • Assisted Living Facility
  • New Port Richey, FL
  • NPI 1982878534
  NPPES parent name

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1881025005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 VIOLA LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346531701",
            "telephone_number": "727-845-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 VIOLA LANE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "727-845-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM TREE LODGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSISTED LIVING OF PASCO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "MARGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-845-0609"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "AL8589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliteway Solutions LLC
• Emilie Ann Ellenberg, LMHC
• Ellie Mental Health Florida LLC
• Alice Elliott
• Melissa Marie Ellis-Winslett, D.C.
• Emergency and Interventional Specialists, Inc
• Teresa Emerson, PHYSICIAN ASSISTANT
• Tamara J Emery, CNA
• Emily C. Villamin
• Taiwo Emiola, NP

• Preferred Provider Organization in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.