Active NPI
Leon Manor Assisted Facility
- Assisted Living Facility
- St Petersburg, FL
National Provider Identifier
1982035937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL10728
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Manor
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility (Mental Illness)
- St Petersburg, FL
- NPI 1043642606
-
- Assisted Living Facility
- St Petersburg, FL
- NPI 1336585843
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.