LOVELY CARE MANOR LLC
NPI 1134550718
Assisted Living Facility in Clearwater, FL

Active since December 06, 2013
2869 SARAH DR, CLEARWATER, FL 33759(727) 754-5309 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lovely Care Manor Llc NPPES

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

LOVELY CARE MANOR LLC (NPI 1134550718) is a healthcare organization registered as an assisted living facility in Clearwater, Florida and active in the NPI registry since December 2013. The organization lists Anee Phouthavong, Owner, as its authorized official.

NPPES Registry Identity

NPI1134550718
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLOVELY CARE MANOR LLC
Location Address2869 SARAH DRClearwater, FL 33759-2010
Mailing Address2869 Sarah DrClearwater, FL 33759-2010
Organization SubpartNo
Authorized OfficialAnee PhouthavongOwner · (727) 754-5309
Enumeration DateDecember 6, 2013
NPI 1134550718 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 · AL12322
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.

2869 SARAH DR, Clearwater, FL 33759

Other Identifiers 1

Medicaid008879500FL

Other Providers at the Same Location NPPES

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

Assisted Living Facility
2869 SARAH DR
CLEARWATER, FL 33759

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134550718, enumerated as an "organization" on December 06, 2013.

The provider is located at 2869 SARAH DR CLEARWATER, FL 33759 and the phone number is (727) 754-5309.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.