EAST LAKE MANOR, INC (NPI# 1104133115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104133115 |
| Entity Type | Organization |
| Organization Name | EAST LAKE MANOR, INC |
| Practice Address |
722 East Lake Road S. Tarpon Springs FL 34688 |
| Practice Telephone | 7279344791 |
| Practice Fax Number | 7279341791 |
| Mailing Telephone | 7279344791 |
| Mailing Fax Number | 7279341791 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |
| Authorized Official Name | MR. SYLVESTER REMORCA (ADMINISTRATOR / OWNER) |
| Authorized Official Telephone | 8483332670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 9773 | FL | Nursing & Custodial Care Facilities |
| Street Address |
722 EAST LAKE ROAD S. |
| City | TARPON SPRINGS |
| State | FL |
| Zip Code | 34688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912477712 | Edward E Eakes | Social Worker | 2108 Tarpon Landings Drive, Tarpon Springs, FL 34688 | 2018-12-05 |
| 1740411529 | Janice Sepe Whittaker | Speech-Language Pathologist | 7704 Massachusettes Ave, New Port Richey, FL 34688 | 2009-07-28 |
| 1316060791 | Mournir Agaiby | General Acute Care Hospital | 3050 Wentworth Way, Tarpens Springs, FL 34688 | 2007-04-09 |
| 1306988225 | Donald John Horn | Dentist | 2605 Keystone Rd, Tarpon Springs, FL 34688 | 2007-02-14 |
| 1316967847 | Albert Douglas Smiley | Dentist | 6707 W Waters Ave, Tampa, FL 34688 | 2006-07-20 |
| 1366441347 | Robert F Metnick | Podiatrist | 422 Appaloosa Rd, Tarpon Springs, FL 34688 | 2005-07-20 |
| 1689866550 | Emanuel Kontos | Dentist | 2605 Keystone Rd, Tarpon Springs, FL 34688 | 2007-08-15 |
| 1902452964 | Market Street East Lake Sl, LLC | Assisted Living Facility | 833 E Lake Rd N, Tarpon Springs, FL 34688-6308 | 2019-08-15 |
| 1588153803 | Andrew Clay Kitterman | Physician Assistant | 2819 Saint Andrews Blvd, Tarpon Springs, FL 34688-6314 | 2018-05-02 |
| 1720210206 | Ben C Bonarigo | Nuclear Medicine | 1046 Royal Troon Court, Tarpon Springs, FL 34688-6324 | 2009-08-17 |
| Find all providers in zip 34688 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452964 | Market Street East Lake Sl, LLC | Assisted Living Facility | 833 E Lake Rd N, Tarpon Springs, FL 34688-6308 | 2019-08-15 |
| 1598116600 | Tarpon Springs Assisted Living of Walton Place | Assisted Living Facility | 501 S Walton Ave, Tarpon Springs, FL 34689-4729 | 2016-06-29 |
| 1972910669 | Oakwood East Retirement Center,inc | Assisted Living Facility | 1210 E Oakwood St, Tarpon Springs, FL 34689-5534 | 2014-07-15 |
| 1891120747 | Nenilla F. Lao | Assisted Living Facility | 1012 Gulf Rd, Tarpon Springs, FL 34689-2532 | 2013-09-11 |
| 1568728251 | Adkinson Assisted Living Facilities, LLC | Assisted Living Facility | 284 Cypress Trce, Tarpon Springs, FL 34688-8523 | 2012-04-06 |
| 1891060729 | Sunset Harbor Assisted Living | Assisted Living Facility | 522 Doric Ct, Tarpon Springs, FL 34689-2526 | 2012-03-10 |
| 1205138633 | Arc Tarpon Springs, Inc. | Assisted Living Facility | 1651 S Pinellas Ave, Tarpon Springs, FL 34689-1946 | 2010-11-17 |
| 1386951440 | Hope Enterprises of America, Inc. | Assisted Living Facility | 1629 Gulf Rd, Tarpon Springs, FL 34689-2718 | 2010-09-09 |
| 1992932297 | Pcm Health Care of Pinellas County Inc | Assisted Living Facility | 451 E Orange St, Tarpon Springs, FL 34689-4352 | 2009-06-15 |
| 1861637399 | Fairway Chalet, Inc. | Assisted Living Facility | 905 Virginia Ave, Tarpon Springs, FL 34689-2677 | 2008-12-12 |
| Find all providers in TARPON SPRINGS | ||||
| City | TARPON SPRINGS |
| Zip Code | 34688 |
Please comment or provide details below to improve the information on EAST LAKE MANOR, INC.
| 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.