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INDIAN SHORE MANOR, LLC
NPI 1639587108
Assisted Living Facility in Clermont, FL

Active since July 29, 2014
1611 INDIAN SHORE DR, CLERMONT, FL 34711(352) 404-8571 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Indian Shore Manor, Llc NPPES

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

INDIAN SHORE MANOR, LLC (NPI 1639587108) is a healthcare organization registered as an assisted living facility in Clermont, Florida and active in the NPI registry since July 2014. The organization lists Merita Mason, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639587108
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameINDIAN SHORE MANOR, LLC
Location Address1611 INDIAN SHORE DRClermont, FL 34711-2981
Mailing Address1611 Indian Shore DrClermont, FL 34711-2981
Phone(352) 404-8571
Organization SubpartNo
Authorized OfficialMerita MasonAdministrator · (718) 344-3828
Enumeration DateJuly 29, 2014
✔ NPI 1639587108 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 · AL12464
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.
1611 INDIAN SHORE DR, Clermont, FL 34711
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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 Indian Shore Manor, LLC's NPI number?

The NPI number for Indian Shore Manor, LLC is 1639587108. It was assigned to this organization in the NPPES registry on July 29, 2014.

Where is Indian Shore Manor, LLC located?

Indian Shore Manor, LLC is located at 1611 Indian Shore Dr, Clermont, FL 34711. The listed phone number is (352) 404-8571.

What is Indian Shore 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 Indian Shore Manor, LLC was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.