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EDDRENA THORNTON OWNER
NPI 1336747658
Custodial Care Facility - Adult Care Home in Bartow, FL

Active since October 09, 2020
2233 BLUEBIRD AVE, BARTOW, FL 33830(863) 529-3103 Get Directions Write a Review

NPPES record last updated: October 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eddrena Thornton Owner NPPES

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

EDDRENA THORNTON OWNER (NPI 1336747658) is an individual adult care home provider in Bartow, Florida, licensed in Florida (6907032) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1336747658
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameEDDRENA THORNTONCredential: OWNER
Location Address2233 BLUEBIRD AVEBartow, FL 33830-2953
Mailing Address2233 Bluebird AveBartow, FL 33830-2953 · (863) 529-3103
Phone(863) 529-3103
Sole ProprietorYes
Enumeration DateOctober 9, 2020
Last NPPES UpdateOctober 10, 2020
NPPES CertifiedOctober 10, 2020
✔ NPI 1336747658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in FL · 6907032
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2233 BLUEBIRD AVE, Bartow, FL 33830
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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 Eddrena Thornton's NPI number?

The NPI number for Eddrena Thornton is 1336747658. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Eddrena Thornton located?

Eddrena Thornton practices at 2233 Bluebird Ave, Bartow, FL 33830. The listed phone number is (863) 529-3103.

What is Eddrena Thornton's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Eddrena Thornton was last updated on October 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.