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FLORIDA HOMESTYLE MANOR, LLC
NPI 1568089050
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Clermont, FL

Active since June 30, 2020
481 DAGAMA DR, CLERMONT, FL 34715(205) 541-9580 Get Directions Write a Review

NPPES record last updated: August 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2021, Jul 6, 2020, Jun 30, 2020 (3 updates tracked since 2020).

About Florida Homestyle Manor, Llc NPPES

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

FLORIDA HOMESTYLE MANOR, LLC (NPI 1568089050) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Clermont, Florida and active in the NPI registry since June 2020. The organization lists Anthony C Grove, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1568089050
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameFLORIDA HOMESTYLE MANOR, LLC
Location Address481 DAGAMA DRClermont, FL 34715-8037
Mailing Address1105 Sadie Ridge RdClermont, FL 34715-0069 · (205) 541-9580
Phone(205) 541-9580
Organization SubpartNo
Authorized OfficialAnthony C GroveChief Executive Officer · (205) 541-9580
Enumeration DateJune 30, 2020
Last NPPES UpdateAugust 22, 20213 updates tracked since enumeration
NPPES CertifiedAugust 22, 2021
✔ NPI 1568089050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
481 DAGAMA DR, Clermont, FL 34715
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Other Identifiers 2

Other13002507FL · Agency For Persons With Disabilities - Apd
Medicaid109504600FL

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 Florida Homestyle Manor, LLC's NPI number?

The NPI number for Florida Homestyle Manor, LLC is 1568089050. It was assigned to this organization in the NPPES registry on June 30, 2020.

Where is Florida Homestyle Manor, LLC located?

Florida Homestyle Manor, LLC is located at 481 Dagama Dr, Clermont, FL 34715. The listed phone number is (205) 541-9580.

What is Florida Homestyle Manor, LLC'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 Florida Homestyle Manor, LLC was last updated on August 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.