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

Indian Shore Manor, LLC

Organization Assisted Living Facility · NPI 1639587108

Indian Shore Manor, LLC is an Assisted Living Facility in Clermont, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
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

1611 Indian Shore Dr
Clermont, FL 34711-2981
Phone: (352) 404-8571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL12464 (FL)

Record details

NPI number1639587108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Merita Mason — Administrator · (718) 344-3828
NPI enumeratedJuly 29, 2014
Last updated in NPPESJuly 29, 2014
Mailing address1611 Indian Shore Dr, Clermont, FL 34711-2981

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