Organization Active NPI

Leon Manor Assisted Facility

  • Assisted Living Facility
  • St Petersburg, FL
National Provider Identifier
1982035937
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10728 Issued in FL
Legal business name
LEON MANOR ASSISTED FACILITY
Practice address
531 8TH St N
St Petersburg, FL 33701-2110
Phone
(727) 564-4956
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Mr. Daniel Leon Parks
Title
Secretary
Phone
(727) 564-4956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10728 FL Primary

Addresses

Primary practice location

531 8TH St N
St Petersburg, FL 33701-2110

Mailing address

531 8TH St N
St Petersburg, FL 33701-2110
Phone (727) 564-4956

National Provider Directory

National Provider Directory
Tax ID family
Adrian Manor3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1982035937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 8TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012110",
            "telephone_number": "727-564-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 8TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012110",
            "telephone_number": "727-564-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON MANOR ASSISTED FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "727-564-4956",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.