INDIAN SHORE MANOR, LLC – Assisted Living Facility, NPI 1639587108

INDIAN SHORE MANOR, LLC is a healthcare provider. based in Clermont, Florida. specializing in Assisted Living Facility. The organization holds a License No. AL12464 (FL). The NPI Number for INDIAN SHORE MANOR, LLC is 1639587108

Main info

Organization
Name
INDIAN SHORE MANOR, LLC
NPI
1639587108
Phone
Not provided
Address
1611 INDIAN SHORE DR
Authorized Official
MERITA MASON ADMINISTRATOR
Enumeration Date
29 July 2014
Last Update Date
29 July 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for INDIAN SHORE MANOR, LLC

  • 1611 INDIAN SHORE DR

    CLERMONT, FL 347112981

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34711)

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Reviews

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Frequently asked questions

How is INDIAN SHORE MANOR, LLC identified in CMS data?
CMS-hosted NPPES data lists INDIAN SHORE MANOR, LLC with NPI 1639587108.
Is INDIAN SHORE MANOR, LLC listed as active for patients and plans?
The listing shows INDIAN SHORE MANOR, LLC as active in the NPI system.
What taxonomy line describes INDIAN SHORE MANOR, LLC?
For research purposes, treat INDIAN SHORE MANOR, LLC as Assisted Living Facility in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for INDIAN SHORE MANOR, LLC?
INDIAN SHORE MANOR, LLC's geographic hint is Clermont, Florida in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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