GERTRUDE DORMAN NPI 1235890559

NPI Information

  • NPI: 1235890559
  • Provider Name: GERTRUDE DORMAN
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Individual
  • Address: 21936 BEVERLY AVE
    PORT CHARLOTTE, FL
    ZIP 33952
  • Phone: (941) 467-2665

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NPI Details

Gertrude Dorman is an assisted living facility in Port Charlotte, 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. Gertrude Dorman NPI is 1235890559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21936 BEVERLY AVE
PORT CHARLOTTE, FL
ZIP 33952-429
Phone: (941) 467-2665

The enumeration date for this NPI number is 1/8/2022 and was last updated on 1/8/2022.

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 FacilityYes

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
187-3948492OTHERFLORIDATAX IDENTIFICATION

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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