EVERGREEN MANOR RETIREMENT HOME
NPI 1083020358
Assisted Living Facility in Safety Harbor, FL

Active since July 08, 2014
3297 STATE ROAD 580, SAFETY HARBOR, FL 34695(727) 724-3776(727) 723-1652 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About EVERGREEN MANOR RETIREMENT HOME

This page provides the complete NPI Profile along with additional information for Evergreen Manor Retirement Home, a provider established in Safety Harbor, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1083020358 assigned on July 2014. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Evergreen Manor Retirement Home. The authorized official of this NPI record is Mr. D A Bennett (Owner)

NPI
1083020358 Verify this NPI
Provider Legal Name
K AND D CARE COMMUNITIES, LLC
Other Organization Name
EVERGREEN MANOR RETIREMENT HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3297 STATE ROAD 580 SAFETY HARBOR, FL 34695
Location Phone
(727) 724-3776
Location Fax
(727) 723-1652
Mailing Address
3297 STATE ROAD 580 SAFETY HARBOR, FL 34695
Mailing Phone
(727) 724-3776
Mailing Fax
(727) 723-1652
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2014
Last Update Date
07-08-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. D A BENNETT

Authorized Official Title
OWNER
Authorized Official Phone
(727) 742-9758

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
3297 STATE ROAD 580
SAFETY HARBOR, FL 34695

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083020358, enumerated as an "organization" on July 08, 2014.

The provider is located at 3297 STATE ROAD 580 SAFETY HARBOR, FL 34695 and the phone number is (727) 724-3776.

Assisted Living Facility with taxonomy code 310400000X.