EMERALD GARDEN INC. NPI 1124335112

NPI Information

EMERALD GARDEN, INC. is an assisted living and mental illness assisted living facility in Clearwater, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. EMERALD GARDEN, INC. NPI is 1124335112. The provider is registered as an organization entity type.

The provider's business location address is:

2159 N MCMULLEN BOOTH RD
CLEARWATER, FL
ZIP 33759-418
Phone: (727) 669-5014

The provider's authorized official is Kamran Rouhani .
The authorized official title is Administrator and has the following contact phone number (727) 669-5014.

The CLIA number assigned to this NPI record is 10D0990638 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2010 and was last updated on 9/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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