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SEABREEZE SIESTA MANOR NPI 1427200864


NPI Information

NPI: 1427200864
Provider Name: SEABREEZE SIESTA MANOR
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2208118

Address:
1388 SEABREEZE ST
CLEARWATER, FL
ZIP 33756
Phone: (727) 953-3782
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SEABREEZE SIESTA MANOR is an 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 assistance and/or monitoring to assure safety and well being. SEABREEZE SIESTA MANOR NPI is 1427200864. The provider is registered as an organization entity type.

The provider's business location address is:

1388 SEABREEZE ST
CLEARWATER, FL
ZIP 33756-347
Phone: (727) 953-3782

The provider's authorized official is Jeffrey Land .
The authorized official title is Administrator and has the following contact phone number (727) 953-3782.

The CLIA number assigned to this NPI record is 10D2208118 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 10/16/2008.


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 FacilityAL11125FLORIDAYes

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: 11/14/2023

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