RENAISSANCE MANOR
NPI 1902112659
Assisted Living Facility - Assisted Living, Mental Illness in Sarasota, FL

Q: What is Community Assisted And Supported Living, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since August 19, 2010CLIA 10D2347769 · Waiver

1401 16TH ST, SARASOTA, FL 34236(941) 365-8645(941) 955-0520 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Renaissance Manor NPPES

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

RENAISSANCE MANOR (NPI 1902112659) is a healthcare organization registered as an assisted living, mental illness in Sarasota, Florida and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Julian S Eller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902112659

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameCOMMUNITY ASSISTED AND SUPPORTED LIVING, INC.

Location Address1401 16TH STSarasota, FL 34236-2519

Mailing Address1401 16th StSarasota, FL 34236-2519 · (941) 365-8645 · Fax (941) 955-0520

Phone(941) 365-8645

Fax(941) 955-0520

Organization SubpartNo

Authorized OfficialJulian S EllerCeo · (941) 225-2373

Enumeration DateAugust 19, 2010

Last NPPES UpdateAugust 19, 2020

NPPES CertifiedAugust 19, 2020

✔ NPI 1902112659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in FL · 5258

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

1401 16TH ST, Sarasota, FL 34236

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Other Names 1

Doing Business AsRenaissance Manor

Other Identifiers 1

Medicaid140990500FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2347769

Community Assisted And Supported Living, Inc · Sarasota, FL

Active · expires Jul 22, 2028

CLIA Number10D2347769

Laboratory TypeAssisted Living Facility

Certificate Effective DateJuly 23, 2026

Certificate Expiration DateJuly 22, 2028

Laboratory DirectorAngela Dunbar

Laboratory Phone(941) 298-6943

Laboratory LocationCommunity Assisted And Supported Living, Inc1401 16th St, Sarasota, FL 34236

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 Community Assisted And Supported Living, Inc.'s NPI number?

The NPI number for Community Assisted And Supported Living, Inc. is 1902112659. It was assigned to this organization in the NPPES registry on August 19, 2010. The provider is doing business as Renaissance Manor.

Where is Community Assisted And Supported Living, Inc. located?

Community Assisted And Supported Living, Inc. is located at 1401 16th St, Sarasota, FL 34236. The listed phone number is (941) 365-8645.

What is Community Assisted And Supported Living, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Community Assisted And Supported Living, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2347769) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Assisted And Supported Living, Inc. was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.