Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edenville Manor LLC

Organization Assisted Living Facility · NPI 1467726091

Edenville Manor LLC is an Assisted Living Facility in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

721 Edenville Ave
Clearwater, FL 33764-6339
Phone: (727) 726-7242
Fax: (727) 726-7211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL 11968190 (FL)

Record details

NPI number1467726091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prosper Bonuedie — Administrator · (727) 726-7242
NPI enumeratedFebruary 29, 2012
Last updated in NPPESFebruary 29, 2012
Mailing address721 Edenville Ave, Clearwater, FL 33764-6339

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