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ST. THOMAS MANOR, INC.
NPI 1023269875
Assisted Living Facility in Plantation, FL

Active since October 09, 2008
1110 SW 40TH AVE, PLANTATION, FL 33317(954) 583-3321 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Thomas Manor, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. THOMAS MANOR, INC. (NPI 1023269875) is a healthcare organization registered as an assisted living facility in Plantation, Florida and active in the NPI registry since October 2008. The organization lists Mathew Jacob, President/owner, as its authorized official.

NPPES Registry Identity

NPI1023269875
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameST. THOMAS MANOR, INC.
Location Address1110 SW 40TH AVEPlantation, FL 33317-4527
Mailing Address1110 Sw 40th AvePlantation, FL 33317-4527 · (954) 583-3321
Phone(954) 583-3321
Organization SubpartNo
Authorized OfficialMathew JacobPresident/owner · (954) 583-3321
Enumeration DateOctober 9, 2008
✔ NPI 1023269875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL1063
Definition
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.
1110 SW 40TH AVE, Plantation, FL 33317
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Other Identifiers 1

Medicaid140824100FL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOLDEN AGE RESIDENCES LLC
Assisted Living Facility
1110 SW 40TH AVE
PLANTATION, FL 33317
Broward County (954) 583-3321
E & B ALF, INC
Assisted Living Facility
1110 SW 40TH AVE
PLANTATION, FL 33317
Broward County (954) 583-3321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Thomas Manor, Inc.'s NPI number?

The NPI number for St. Thomas Manor, Inc. is 1023269875. It was assigned to this organization in the NPPES registry on October 9, 2008.

Where is St. Thomas Manor, Inc. located?

St. Thomas Manor, Inc. is located at 1110 SW 40th Ave, Plantation, FL 33317. The listed phone number is (954) 583-3321.

What is St. Thomas Manor, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for St. Thomas Manor, Inc. was last updated on October 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.