Organization Active NPI

Denly N, Inc. Dna Savannah Manor

  • Assisted Living Facility
  • Leesburg, FL
National Provider Identifier
1932548435
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL5322 Issued in FL
Legal business name
DENLY N, INC. DNA SAVANNAH MANOR
Practice address
1027 W. Main St.
Leesburg, FL 34748
Phone
(352) 326-3637
Fax
(352) 365-2300
NPI assigned
Jun 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Mr. Dennis Manabat
Title
President
Phone
(352) 326-3637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL5322 FL Primary

Addresses

Primary practice location

1027 W. Main St.
Leesburg, FL 34748

Mailing address

1027 W. Main St.
Leesburg, FL 34748
Phone (352) 326-3637

Other identifiers 1

IdentifierTypeStateIssuer
0031898-00MedicaidFL

National Provider Directory

National Provider Directory

Locations

1027 W Main St
Leesburg, FL 34748
Phone (352) 326-3627

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1932548435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 W. MAIN ST.",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-326-3637",
            "fax_number": "352-365-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 W. MAIN ST.",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-326-3637",
            "fax_number": "352-365-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENLY N, INC. DNA SAVANNAH MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "MANABAT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-326-3637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031898-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.