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2595 HARBOR BLVD LLC
NPI 1124775242
Assisted Living Facility in Port Charlotte, FL

Active since March 08, 2022
2595 HARBOR BLVD, PORT CHARLOTTE, FL 33952(941) 769-9100 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2022, Mar 8, 2022 (2 updates tracked since 2022).

About 2595 Harbor Blvd Llc NPPES

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

2595 HARBOR BLVD LLC (NPI 1124775242) is a healthcare organization registered as an assisted living facility in Port Charlotte, Florida and active in the NPI registry since March 2022. The organization lists Josh Rosen, Manager, as its authorized official.

NPPES Registry Identity

NPI1124775242
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name2595 HARBOR BLVD LLC
Location Address2595 HARBOR BLVDPort Charlotte, FL 33952-6732
Mailing Address5307 E Mockingbird Ln Ste 575Dallas, TX 75206-5109 · (469) 619-5372
Phone(941) 769-9100
Organization SubpartNo
Authorized OfficialJosh RosenManager · (469) 619-5372
Enumeration DateMarch 8, 2022
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1124775242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

2595 HARBOR BLVD, Port Charlotte, FL 33952
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Other Providers at the Same Location NPPES 3

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

DR. THOMAS R CIVITELLA M.D.
Ophthalmology
2595 HARBOR BLVD, SUITE 207
PORT CHARLOTTE, FL 33952
Charlotte County (941) 629-3937
DR. JAMES H TIETSWORTH M.D.
Ophthalmology
2595 HARBOR BLVD, SUITE 207
PORT CHARLOTTE, FL 33952
Charlotte County (941) 629-3937
PARKSIDE ASSISTED LIVING AND MEMORY COTTAGE
Assisted Living Facility
2595 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-7444

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 2595 Harbor Blvd LLC's NPI number?

The NPI number for 2595 Harbor Blvd LLC is 1124775242. It was assigned to this organization in the NPPES registry on March 8, 2022.

Where is 2595 Harbor Blvd LLC located?

2595 Harbor Blvd LLC is located at 2595 Harbor Blvd, Port Charlotte, FL 33952. The listed phone number is (941) 769-9100.

What is 2595 Harbor Blvd LLC'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 2595 Harbor Blvd LLC was last updated on November 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.