PRISYCO MANOR LLC (NPI# 1033619093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033619093 |
| Entity Type | Organization |
| Organization Name | PRISYCO MANOR LLC |
| Practice Address |
8061 Groveland Ave Pensacola FL 32534-3551 |
| Practice Telephone | 8504952779 |
| Practice Fax Number | 8504952779 |
| Mailing Telephone | 8504952779 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |
| Authorized Official Name | MRS. FAYE FREEMAN (CEO) |
| Authorized Official Telephone | 8504952779 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | FL | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRISYCO MANOR LLC | 8061 Groveland Ave, Pensacola, FL 32534-3551 |
| Street Address |
8061 GROVELAND AVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32534-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981504 | Nf Nine Mile, LLC | Skilled Nursing Facility | 9310 Fowler Avenue, Pensacola, FL 32534 | 2019-06-18 |
| 1003207630 | Lenora Diann Wesley | Custodial Care Facility | 7840 Herrington Drive, Pensacola, FL 32534 | 2015-02-18 |
| 1336553759 | Charlotte Creahan | Pharmacist | 8814 C Palafox Hwy, Ensley Pharmacy, Penscola, FL 32534 | 2014-06-13 |
| 1801166368 | Neetin Patel | Pharmacist | 20 West Nine Mile Rd, Pensacola, FL 32534 | 2011-12-30 |
| 1891760377 | Adrian Laertes Goram | Pharmacist | 2237 W 9 Mile Rd, Walgreens Store 10181, Pensacola, FL 32534 | 2006-02-20 |
| 1558346213 | Angela B Bray | Physician Assistant | 8596 Orange Avenue, Pensacola, FL 32534 | 2005-12-14 |
| 1689669285 | Lori Lynn Everett | Dentist | 307 Boatner Road Suite 114, Eglin Afb, FL 32534 | 2005-09-20 |
| 1043565781 | Nada Samir Ilia | Dentist | 8390 N Palafox St, Promed Dental Clinic, Pensacola, FL 32534 | 2012-07-18 |
| 1770591968 | Steven L Jackson, Inc | Pharmacist | 2256 W Nine Mile Rd, Pensacola, FL 32534 | 2006-08-03 |
| 1255351847 | Ashley W Plummer | Specialist/Technologist | 1316 Jasper Street, Pensacola, FL 32534-0423 | 2006-07-19 |
| Find all providers in zip 32534 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617333 | Shelton Manor Inc | Assisted Living Facility | 9700 Pensacola Blvd, Pensacola, FL 32534-1242 | 2020-04-14 |
| 1831660240 | The Rhema House | Assisted Living Facility | 2910 Michael Dr, Pensacola, FL 32505-3999 | 2018-12-10 |
| 1578989695 | Grandview Retirement Center | Assisted Living Facility | 1706 E Olive Rd, Pensacola, FL 32514-7553 | 2014-03-13 |
| 1679998389 | House of Honor, LLC | Assisted Living Facility | 8090 Tippin Ave, Pensacola, FL 32514-6357 | 2014-03-04 |
| 1235551672 | Ashley Leggett | Assisted Living Facility | 1030 Jojo Rd, Pensacola, FL 32514-3235 | 2014-01-18 |
| 1255763256 | Extended Care Portfolio Florida Tenant, LLC | Assisted Living Facility | 5918 N Davis Hwy, Pensacola, FL 32503-2050 | 2013-08-01 |
| 1295082246 | Cooper-solice Inc Dba Asbury Place | Assisted Living Facility | 4916 Mobile Hwy, Pensacola, FL 32506-3230 | 2012-08-09 |
| 1619271525 | Northpointe Retirement Community | Assisted Living Facility | 5100 Northpointe Pkwy, Pensacola, FL 32514-7844 | 2011-01-06 |
| 1972807881 | Westpointe Retirement Community | Assisted Living Facility | 5101 Northpointe Pkwy, Pensacola, FL 32514-7846 | 2011-01-06 |
| 1528360906 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 8700 University Pkwy, Pensacola, FL 32514-4931 | 2010-11-17 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.