JASMINE GARDENS LLC NPI 1235572314

NPI Information

  • NPI: 1235572314
  • Provider Name: JASMINE GARDENS LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: INDIAN OAKS MANOR
  • Address: 11355 131ST ST
    LARGO, FL
    ZIP 33774
  • Phone: (727) 593-0403

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NPI Details

JASMINE GARDENS LLC is an assisted living facility in Largo, 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. JASMINE GARDENS LLC NPI is 1235572314. The provider is registered as an organization entity type.
The provider Is Doing Business As Indian Oaks Manor.

The provider's business location address is:

11355 131ST ST
LARGO, FL
ZIP 33774
Phone: (727) 593-0403
Fax: (727) 596-4421

The provider's authorized official is Gloria Romero Roses .
The authorized official title is Owner and has the following contact phone number (305) 904-3852.

The enumeration date for this NPI number is 4/9/2013 and was last updated on 1/28/2020.

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 FacilityAL6056FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1008352000MEDICAIDFLORIDA

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: 11/21/2025

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