THE COTTAGES OF BRADENTON (NPI# 1790114858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790114858 |
| Entity Type | Organization |
| Organization Name | THE COTTAGES OF BRADENTON |
| Practice Address |
5700 24th St E Bradenton FL 34203-4940 |
| Practice Telephone | 9417550443 |
| Practice Fax Number | 9417553994 |
| Mailing Telephone | 9417550443 |
| Mailing Fax Number | 9417553994 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | MRS. KATELYNN DARLENE HOLTON (ADMINISTRATOR) |
| Authorized Official Telephone | 8632456681 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL7835 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001803700 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | THE COTTAGES OF BRADENTON LLC | 17 Weston Place, Lawrence, Ny 11559 |
| Street Address |
5700 24TH ST E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34203-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033403712 | Beverly Ann Boyer | Physical Therapy Assistant | 5700 24th St E, Bradenton, FL 34203-4940 | 2011-05-31 |
| 1770976649 | Louisa Group LLC | Assisted Living Facility | 5700 24th St E, Bradenton, FL 34203-4940 | 2015-03-16 |
| 1578859898 | Carla M Blethen | Occupational Therapy Assistant | 5700 24th St E, Bradenton, FL 34203-4940 | 2011-06-24 |
| 1326333725 | Rebecca Cathleen Strain | Physical Therapy Assistant | 5700 24th St E, Bradenton, FL 34203-4940 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1053814251 | Oneco Smiles Inc | Dentist | 1612 53rd Ave East, Oneco, FL 34203 | 2018-03-14 |
| 1811404908 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1505 53rd Ave, Bradenton, FL 34203 | 2018-01-10 |
| 1871003632 | Linda J Campbell | Dietitian, Registered | 6610 68th Street East, Bradenton, FL 34203 | 2017-10-06 |
| 1710430988 | Crystal Camden | Dentist | 5205 Office Park Blvd, Bradenton, FL 34203 | 2016-07-25 |
| 1104214865 | Sea of Smiles, Inc. | Dentist | 6060 State Road 70, Suite A, Bradenton, FL 34203 | 2015-01-05 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1447661418 | David W Heaton | Dentist | 1612 53rd Avenue East, Bradenton, FL 34203 | 2014-05-13 |
| 1346688066 | Joshua Donald Hogan | Pharmacist | 7290 55th Avenue East, Bradenton, FL 34203 | 2013-06-05 |
| Find all providers in zip 34203 | ||||
| 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 |
|---|---|---|---|---|
| 1992250633 | Resident Care Prime Consultants, LLC | Assisted Living Facility | 1801 51st St W, Bradenton, FL 34209-5031 | 2016-08-23 |
| 1518334648 | Twin Angels Assisted Living Facility | Assisted Living Facility | 323 49th St Nw, Bradenton, FL 34209-1922 | 2015-08-24 |
| 1447650528 | Lisa Bryan | Assisted Living Facility | 5015 29th Ave W, Bradenton, FL 34209-6119 | 2014-08-26 |
| 1467862276 | Dorcas House | Assisted Living Facility | 2601 13th Ave W, Bradenton, FL 34205-4030 | 2014-05-01 |
| 1255766697 | Oaks Bradenton Trs, LLC | Assisted Living Facility | 2614 43rd St W, Bradenton, FL 34209-6212 | 2013-09-04 |
| 1053751693 | 60th Avenue Alf, LLC | Assisted Living Facility | 2800 60th Ave W, Bradenton, FL 34207-4324 | 2013-06-27 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1164866869 | Nic 4 Bradenton Oaks Leasing LLC | Assisted Living Facility | 1015 7th Ave East, Bradenton, FL 34208 | 2013-04-24 |
| 1295072262 | Neuro International LLC | Assisted Living Facility | 7015 32nd Ave E, Bradenton, FL 34208-6755 | 2013-01-11 |
| 1144582461 | Waters Edge of Bradeton | Assisted Living Facility | 2015 32nd Ave W, Bradenton, FL 34205-4505 | 2012-06-12 |
| Find all providers in BRADENTON | ||||
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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.