AZALEA MANOR – NPI #1386823599
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

AZALEA MANOR is a community based residential treatment facility located in SAINT PETERSBURG, FL. NPPES has assigned the NPI number 1386823599 to AZALEA MANOR on October 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AZALEA MANOR” is a dba name, the actual legal business name for this organization is EASTWINDS OF FLORIDA INC.. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 10 years ago on Aug 19, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AZALEA MANOR below.

NPI Profile for
EASTWINDS OF FLORIDA INC.

NPI Number
1386823599
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTWINDS OF FLORIDA INC.
Doing Business As (dba): AZALEA MANOR
Primary location
112 12TH AVE N
SAINT PETERSBURG, FL 33701-1826
Phone: (727) 821-8510 Fax:
Mailing address
1725 ROBINHOOD LN
CLEARWATER, FL 33764-6449
Phone: (727) 821-8510 Fax:
Organization Subpart
No
Authorized Official
FLOYD MCKENZIE
ADMINISTRATOR
Phone: (727) 821-8510
Updated
Identifiers

Identifiers for AZALEA MANOR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL687826196
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
FL AL5405

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.