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EDENVILLE MANOR LLC
NPI 1467726091
Assisted Living Facility in Clearwater, FL

Active since February 29, 2012
721 EDENVILLE AVE, CLEARWATER, FL 33764(727) 726-7242(727) 726-7211 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edenville Manor Llc NPPES

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

EDENVILLE MANOR LLC (NPI 1467726091) is a healthcare organization registered as an assisted living facility in Clearwater, Florida and active in the NPI registry since February 2012. The organization lists Prosper K Bonuedie, Administrator, as its authorized official.

NPPES Registry Identity

NPI1467726091
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDENVILLE MANOR LLC
Location Address721 EDENVILLE AVEClearwater, FL 33764-6339
Mailing Address721 Edenville AveClearwater, FL 33764-6339 · (727) 726-7242 · Fax (727) 726-7211
Phone(727) 726-7242
Fax(727) 726-7211
Organization SubpartNo
Authorized OfficialProsper K BonuedieAdministrator · (727) 726-7242
Enumeration DateFebruary 29, 2012
✔ NPI 1467726091 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 · AL 11968190
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.
721 EDENVILLE AVE, Clearwater, FL 33764
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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 Edenville Manor LLC's NPI number?

The NPI number for Edenville Manor LLC is 1467726091. It was assigned to this organization in the NPPES registry on February 29, 2012.

Where is Edenville Manor LLC located?

Edenville Manor LLC is located at 721 Edenville Ave, Clearwater, FL 33764. The listed phone number is (727) 726-7242.

What is Edenville Manor 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 Edenville Manor LLC was last updated on February 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.