FLORIDA CARE ALF OF AMELIA ISLAND INC NPI 1891363362

NPI Information

NPI: 1891363362
Provider Name: FLORIDA CARE ALF OF AMELIA ISLAND INC

Doing Business As: AMELIA SPRINGS ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1550 NECTARINE ST
FERNANDINA BEACH, FL
ZIP 32034
Phone: (954) 461-7435
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FLORIDA CARE ALF OF AMELIA ISLAND INC is an assisted living facility in Fernandina Beach, 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. FLORIDA CARE ALF OF AMELIA ISLAND INC NPI is 1891363362. The provider is registered as an organization entity type.
The provider Is Doing Business As Amelia Springs Assisted Living.

The provider's business location address is:

1550 NECTARINE ST
FERNANDINA BEACH, FL
ZIP 32034-030
Phone: (954) 461-7435

The provider's authorized official is Joseph V Mondelli .
The authorized official title is President and has the following contact phone number (954) 461-7435.

The enumeration date for this NPI number is 6/11/2021 and was last updated on 8/24/2021.

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				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1053704965	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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