Provider Demographics
NPI:1932654324
Name:RAINDROP LANDING ALF LLC
Entity Type:Organization
Organization Name:RAINDROP LANDING ALF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:W
Authorized Official - Last Name:POTTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:727-430-3587
Mailing Address - Street 1:2869 SARAH DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-2010
Mailing Address - Country:US
Mailing Address - Phone:727-669-0264
Mailing Address - Fax:727-669-0264
Practice Address - Street 1:2869 SARAH DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-2010
Practice Address - Country:US
Practice Address - Phone:727-669-0264
Practice Address - Fax:727-669-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12322310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility