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POWELL SUPPORTIVE SERVICES INC NPI 1235531690


NPI Information

NPI: 1235531690
Provider Name: POWELL SUPPORTIVE SERVICES INC

Doing Business As: BRADENTON PALMS ALF I

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2197724

Address:
802 71ST ST NW
BRADENTON, FL
ZIP 34209
Phone: (813) 767-3808
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POWELL SUPPORTIVE SERVICES INC 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. POWELL SUPPORTIVE SERVICES INC NPI is 1235531690. The provider is registered as an organization entity type.
The provider Is Doing Business As Bradenton Palms Alf I.

The provider's business location address is:

802 71ST ST NW
BRADENTON, FL
ZIP 34209-515
Phone: (813) 767-3808

The provider's authorized official is Natasha Powell .
The authorized official title is Owner and has the following contact phone number (813) 767-3808.

The CLIA number assigned to this NPI record is 10D2197724 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2014 and was last updated on 9/17/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility12389FLORIDAYes

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: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.