CHRISTMAS COMMUNITY RESIDENTIAL HOME NPI 1568787521

NPI Information

NPI: 1568787521
Provider Name: CHRISTMAS COMMUNITY RESIDENTIAL HOME
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
16691 1ST ST
ALVA, FL
ZIP 33920
Phone: (239) 728-3998
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CHRISTMAS COMMUNITY RESIDENTIAL HOME is an assisted living facility in Alva, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CHRISTMAS COMMUNITY RESIDENTIAL HOME NPI is 1568787521. The provider is registered as an organization entity type.

The provider's business location address is:

16691 1ST ST
ALVA, FL
ZIP 33920-119
Phone: (239) 728-3998
Fax: (239) 728-3998

The provider's authorized official is Willie Lee Christmas .
The authorized official title is Owner/operator and has the following contact phone number (239) 440-1469.

The enumeration date for this NPI number is 4/2/2010 and was last updated on 4/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		6906393	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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