AZALEA MANOR
NPI 1386823599
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in St Petersburg, FL

Active since October 24, 2007
112 12TH AVE N, ST PETERSBURG, FL 33701(727) 821-8510 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Azalea Manor NPPES

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

AZALEA MANOR (NPI 1386823599) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in St Petersburg, Florida and active in the NPI registry since October 2007. The organization lists Floyd M. Mckenzie, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386823599
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEASTWINDS OF FLORIDA INC.
Location Address112 12TH AVE NSt Petersburg, FL 33701-1826
Mailing Address1725 Robinhood LnClearwater, FL 33764-6449 · (727) 821-8510
Organization SubpartNo
Authorized OfficialFloyd M. MckenzieAdministrator · (727) 821-8510
Enumeration DateOctober 24, 2007
Last NPPES UpdateAugust 19, 2016
NPI 1386823599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in FL · AL5405
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
112 12TH AVE N, St Petersburg, FL 33701

Other Names 1

Doing Business AsAzalea Manor

Other Identifiers 1

Medicaid687826196FL

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 Eastwinds Of Florida Inc.'s NPI number?

The NPI number for Eastwinds Of Florida Inc. is 1386823599. It was assigned to this organization in the NPPES registry on October 24, 2007. The provider is doing business as Azalea Manor.

Where is Eastwinds Of Florida Inc. located?

Eastwinds Of Florida Inc. is located at 112 12th Ave N, St Petersburg, FL 33701. The listed phone number is (727) 821-8510.

What is Eastwinds Of Florida Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Eastwinds Of Florida Inc. was last updated on August 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.