Provider Demographics
NPI:1649941915
Name:EUPHORIAN HEALTHCARE INNOVATION LLC
Entity type:Organization
Organization Name:EUPHORIAN HEALTHCARE INNOVATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:RAIN
Authorized Official - Last Name:ADKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-307-7150
Mailing Address - Street 1:2179 DODGE ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-1802
Mailing Address - Country:US
Mailing Address - Phone:727-600-8386
Mailing Address - Fax:727-600-8386
Practice Address - Street 1:2179 DODGE ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-1802
Practice Address - Country:US
Practice Address - Phone:727-600-8386
Practice Address - Fax:727-600-8386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-25
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness