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EMERALD GARDEN, INC.
NPI 1124335112
Assisted Living Facility - Assisted Living, Mental Illness in Clearwater, FL

Active since September 12, 2010CLIA 10D0990638 · Waiver
2159 N MCMULLEN BOOTH RD, CLEARWATER, FL 33759(727) 669-5014 Get Directions Write a Review

NPPES record last updated: September 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emerald Garden, Inc. NPPES

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

EMERALD GARDEN, INC. (NPI 1124335112) is a healthcare organization registered as an assisted living, mental illness in Clearwater, Florida and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Kamran Rouhani, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124335112
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameEMERALD GARDEN, INC.
Location Address2159 N MCMULLEN BOOTH RDClearwater, FL 33759-1418
Mailing Address2159 N Mcmullen Booth RdClearwater, FL 33759-1418 · (727) 669-5014
Phone(727) 669-5014
Organization SubpartNo
Authorized OfficialKamran RouhaniAdministrator · (727) 669-5014
Enumeration DateSeptember 12, 2010
✔ NPI 1124335112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License✔ Licensed in FL · AL9997
Definition
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.
2159 N MCMULLEN BOOTH RD, Clearwater, FL 33759
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Other Identifiers 1

OtherAL9997FL · Florida, Assisted Living Facility

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0990638

Emerald Garden Inc-Alf · Clearwater, FL
Active · expires Aug 27, 2027
CLIA Number10D0990638
Laboratory TypeOther
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorKamran Rouhani
Laboratory Phone(727) 723-7332
Laboratory LocationEmerald Garden Inc-Alf2159 Mcmullen Booth Rd, Clearwater, FL 33759
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Emerald Garden, Inc.'s NPI number?

The NPI number for Emerald Garden, Inc. is 1124335112. It was assigned to this organization in the NPPES registry on September 12, 2010.

Where is Emerald Garden, Inc. located?

Emerald Garden, Inc. is located at 2159 N Mcmullen Booth Rd, Clearwater, FL 33759. The listed phone number is (727) 669-5014.

What is Emerald Garden, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Emerald Garden, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0990638) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emerald Garden, Inc. was last updated on September 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.