Cozy Care Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL16 Issued in FL

Legal business name

COZY CARE MANOR LLC

Practice address

302 11TH Ave NE
St Petersburg, FL 33701-1926

Phone

(727) 894-4572

NPI assigned

Aug 13, 2013

Last updated

Aug 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Valdene E Forde

Title

Administrator

Phone

(727) 688-1918

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1982037008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 11TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011926",
            "telephone_number": "727-894-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 11TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011926",
            "telephone_number": "727-894-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COZY CARE MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "VALDENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-688-1918",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerald Lee Cowles, RN
• Alexis Cox, SLP
• Lisa M Cox, PT
• Maureen Anne Cox
• Robin June Cozine, ARNP
• Cplace of St. Pete, LLC (Carrington Place of St. Pete)
• Cpt101, L.L.C.
• Christine D Craig, NP
• Joseph R Craig, D.D.S., P.A.
• Cassidy Adele Cramer, OTR

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

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