Bloomfield Manor, INC
Assisted Living Facility in Palm Harbor, FL. Organization (NPI-2).
Details
- NPI
- 1457539645
- Entity type
- Organization (NPI-2)
- Legal business name
- Bloomfield Manor, INC
- Organization subpart
- No
- Enumeration date
- Feb 10, 2008
- Last updated
- Apr 20, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AL9893 | FL | Yes |
Practice location
2774 Wesleyan DrPalm Harbor, FL 34684-4727
Phone 727-787-8706 · Fax 727-787-8706
Mailing address
2774 Wesleyan DrPalm Harbor, FL 34684-4727
Phone 727-787-8706 · Fax 727-787-8706
Authorized official
Haifa K Harb
Owner
7272789458
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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