WATERS EDGE OF BRADETON NPI 1144582461

NPI Information

  • NPI: 1144582461
  • Provider Name: WATERS EDGE OF BRADETON
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 2015 32ND AVE W
    BRADENTON, FL
    ZIP 34205
  • Phone: (941) 748-7797

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NPI Details

WATERS EDGE OF BRADETON is an assisted living facility in Bradenton, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WATERS EDGE OF BRADETON NPI is 1144582461. The provider is registered as an organization entity type.

The provider's business location address is:

2015 32ND AVE W
BRADENTON, FL
ZIP 34205-505
Phone: (941) 748-7797

The provider's authorized official is Jerry Jaques .
The authorized official title is President, Rmi, Management Agent and has the following contact phone number (386) 774-8878.

The enumeration date for this NPI number is 6/12/2012 and was last updated on 6/12/2012.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL11742FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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