WATERS EDGE OF BRADETON (NPI# 1144582461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144582461 |
| Entity Type | Organization |
| Organization Name | WATERS EDGE OF BRADETON |
| Practice Address |
2015 32nd Ave W Bradenton FL 34205-4505 |
| Practice Telephone | 9417487797 |
| Mailing Telephone | 9417487797 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |
| Authorized Official Name | JERRY JAQUES (PRESIDENT, RMI, MANAGEMENT AGENT) |
| Authorized Official Telephone | 3867748878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL11742 | FL | Nursing & Custodial Care Facilities |
| Street Address |
2015 32ND AVE W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992250633 | Resident Care Prime Consultants, LLC | Assisted Living Facility | 1801 51st St W, Bradenton, FL 34209-5031 | 2016-08-23 |
| 1518334648 | Twin Angels Assisted Living Facility | Assisted Living Facility | 323 49th St Nw, Bradenton, FL 34209-1922 | 2015-08-24 |
| 1447650528 | Lisa Bryan | Assisted Living Facility | 5015 29th Ave W, Bradenton, FL 34209-6119 | 2014-08-26 |
| 1467862276 | Dorcas House | Assisted Living Facility | 2601 13th Ave W, Bradenton, FL 34205-4030 | 2014-05-01 |
| 1255766697 | Oaks Bradenton Trs, LLC | Assisted Living Facility | 2614 43rd St W, Bradenton, FL 34209-6212 | 2013-09-04 |
| 1053751693 | 60th Avenue Alf, LLC | Assisted Living Facility | 2800 60th Ave W, Bradenton, FL 34207-4324 | 2013-06-27 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1164866869 | Nic 4 Bradenton Oaks Leasing LLC | Assisted Living Facility | 1015 7th Ave East, Bradenton, FL 34208 | 2013-04-24 |
| 1295072262 | Neuro International LLC | Assisted Living Facility | 7015 32nd Ave E, Bradenton, FL 34208-6755 | 2013-01-11 |
| 1841568961 | Rudy's Agape House, LLC | Assisted Living Facility | 5426 18th St W, Bradenton, FL 34207-3305 | 2011-12-03 |
| Find all providers in BRADENTON | ||||
Please comment or provide details below to improve the information on WATERS EDGE OF BRADETON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.