HOLMES CREEK ASSISTED LIVING FACILITY, INC. (NPI# 1326351545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326351545 |
| Entity Type | Organization |
| Organization Name | HOLMES CREEK ASSISTED LIVING FACILITY, INC. |
| Practice Address |
3732 Roche Ave Vernon FL 32462-3373 |
| Mailing Address |
Po Box 390 Vernon FL 32462-0390 |
| Practice Telephone | 8505351160 |
| Practice Fax Number | 8505354713 |
| Mailing Telephone | 8505351160 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |
| Authorized Official Name | STEVE HALL (PRESIDENT) |
| Authorized Official Telephone | 8502584428 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL5584 | FL | Nursing & Custodial Care Facilities |
| Street Address |
3732 ROCHE AVE |
| City | VERNON |
| State | FL |
| Zip Code | 32462-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134422470 | Northwest Florida Healthcare, Inc. | Family Medicine | 3250 Main St, Vernon, FL 32462 | 2010-12-08 |
| 1528098779 | Life Management Center of Northwest Florida, Inc. | Counselor | 3371 Sasser Road, Vernon, FL 32462 | 2006-07-04 |
| 1437187440 | Helena Cosby-garcia | Counselor | 3134 Moss Hill Rd, Vernon, FL 32462 | 2006-06-29 |
| 1275706087 | Jessica Lynn Mahaffey | Massage Therapist | 2829 Yellow Jacket Dr, Vernon, FL 32462-2011 | 2008-04-12 |
| 1326095944 | Dawn Rene', Inc. | Nurse Practitioner | 3027 Main St, Post Office Box 829, Vernon, FL 32462-2220 | 2006-05-28 |
| 1215981667 | Dawn Rene Frost | Nurse Practitioner | 3027 Main Street, Vernon, FL 32462-2220 | 2006-05-20 |
| 1851819809 | Michelle Joy Daniels | Nurse Practitioner | 3027 Main St, Vernon, FL 32462-2220 | 2017-08-30 |
| 1851545115 | Dawn Rene LLC | Nurse Practitioner | 3027 Main St, Vernon, FL 32462-2220 | 2008-11-12 |
| 1063497972 | Vernon Discount Drug Inc | Pharmacy | 3248 Main St, Vernon, FL 32462-2223 | 2005-12-13 |
| 1912287939 | Northwest Florida Healthcare, Inc. | General Practice | 3250 Main St, Vernon, FL 32462-2223 | 2011-08-22 |
| Find all providers in zip 32462 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235438250 | Oak Valley Alf | Assisted Living Facility | 4488 Highway 79, Vernon, FL 32462-3778 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1003434028 | Carolyn Clanton Alf LLC | Assisted Living Facility | 1146 Hamilton Ave, Jennings, FL 32053-2253 | 2020-07-07 |
| 1356964555 | Cordoba Alf LLC | Assisted Living Facility | 1135 Sw 100th Ct, Miami, FL 33174-2848 | 2020-05-21 |
| 1205461563 | Alegria Alf LLC | Assisted Living Facility | 1150 Sw 103rd Ct, Miami, FL 33174-2759 | 2020-03-06 |
| 1134764368 | Aum Haven LLC | Assisted Living Facility | 2763 Carmel Ct, Kissimmee, FL 34746-3268 | 2019-11-12 |
| 1275180515 | 1161 Cambridge LLC | Assisted Living Facility | 1161 W 2nd St, Riviera Beach, FL 33404-7627 | 2019-08-21 |
| 1386291623 | Cambridge 13 LLC | Assisted Living Facility | 1560 W 13th St, Riviera Beach, FL 33404-6521 | 2019-08-21 |
| 1851948418 | 3411 Ave Cambridge LLC | Assisted Living Facility | 3411 Avenue H E, Riviera Beach, FL 33404-2101 | 2019-08-19 |
| 1326694308 | W 2nd Cambridge LLC | Assisted Living Facility | 570 W 2nd St, Riviera Beach, FL 33404-7616 | 2019-08-14 |
| 1154976512 | Quality Health Care of Florida.llc | Assisted Living Facility | 1250 Nw 122nd Ave, Plantation, FL 33323-2420 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
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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.