Provider Demographics
NPI:1952640070
Name:BENNETT RETIREMENT COMMUNITIES LLC
Entity Type:Organization
Organization Name:BENNETT RETIREMENT COMMUNITIES LLC
Other - Org Name:CURLEW CARE OF CLEARWATER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:D
Authorized Official - Middle Name:A
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-742-9758
Mailing Address - Street 1:2730 CURLEW RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-1208
Mailing Address - Country:US
Mailing Address - Phone:727-785-9487
Mailing Address - Fax:727-784-6480
Practice Address - Street 1:2730 CURLEW RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-1208
Practice Address - Country:US
Practice Address - Phone:727-785-9487
Practice Address - Fax:727-784-6480
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D.A. BENNETT CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL59083104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness