Provider Demographics
NPI:1003149154
Name:NEW PORT RICHEY OPERATING, LLC
Entity type:Organization
Organization Name:NEW PORT RICHEY OPERATING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-680-2939
Mailing Address - Street 1:7423 KAUAI LOOP ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653
Mailing Address - Country:US
Mailing Address - Phone:800-724-0481
Mailing Address - Fax:727-376-6926
Practice Address - Street 1:7423 KAUAI LOOP ROAD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653
Practice Address - Country:US
Practice Address - Phone:800-724-0481
Practice Address - Fax:727-376-6926
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:P & L ASSISTED LIVING, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-08
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10594310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility