ADRIAN MANOR (NPI# 1043642606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043642606 |
| Entity Type | Organization |
| Organization Name | ADRIAN MANOR |
| Practice Address |
2168 9th Ave N St Petersburg FL 33713-7134 |
| Practice Telephone | 7273281348 |
| Practice Fax Number | 7278246364 |
| Mailing Telephone | 7273281348 |
| Mailing Fax Number | 7278246364 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |
| Authorized Official Name | VALDENE FORDE (ADMINISTRATOR) |
| Authorized Official Telephone | 7278964515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL10857 | FL | Nursing & Custodial Care Facilities |
| Street Address |
2168 9TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-7134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831508241 | Autumn House | Assisted Living Facility | 880 17th Ave S, St Petersburg, FL 33701-5716 | 2014-08-11 |
| 1437572104 | Tectrust Incorporated | Assisted Living Facility | 434 4th St N, St Petersburg, FL 33701-2804 | 2014-01-30 |
| 1285075986 | Loving Care of St Petersburg | Assisted Living Facility | 1001 9th St N, St Petersburg, FL 33701-1514 | 2013-07-10 |
| 1386944064 | Alcove Retirement Center IIi | Assisted Living Facility | 2801 4th St N, St Petersburg, FL 33704 | 2010-10-27 |
| 1770742231 | Everlasting Grace Assisted Living Inc. | Assisted Living Facility | 1325 4th St N, St Petersburg, FL 33701-1117 | 2008-06-09 |
| 1194900985 | Gulf Coast Jewish Family Services | Assisted Living Facility | 3180 66th St N, St Petersburg, FL 33710-3165 | 2007-12-31 |
| 1164475067 | Shrinathji, Inc | Assisted Living Facility | 2349 Central Ave, St Petersburg, FL 33713-8845 | 2006-05-19 |
| 1407238504 | Amelia Assisted Living Facility, Inc | Assisted Living Facility | 2135 40th Ave N, St Petersburg, FL 33714-4124 | 2015-06-24 |
| 1053746107 | Mental Health Group of Greater Tampa Bay | Assisted Living Facility | 2349 Central Ave, St Petersburg, FL 33713-8845 | 2013-09-09 |
| 1942518501 | The Peacekeepers' Den Inc. | Assisted Living Facility | 1325 4th St N, St Petersburg, FL 33701-1117 | 2010-09-16 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.