FIDELITY LIVING LLC GROUP HOME (NPI# 1326579178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326579178 |
| Entity Type | Organization |
| Organization Name | FIDELITY LIVING LLC GROUP HOME |
| Practice Address |
1941 Kingway Dr Deltona FL 32738-8619 |
| Practice Telephone | 3868017170 |
| Mailing Telephone | 3868017170 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | MRS. NATACHA LHERISSON (MGR.) |
| Authorized Official Telephone | 3868017170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
1941 KINGWAY DR |
| City | DELTONA |
| State | FL |
| Zip Code | 32738-8619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626449 | Antoinette Pierce | Registered Nurse | 410 El Camino Dr, Deltona, FL 32738 | 2018-07-21 |
| 1184120776 | Gray Group L.L.C. | Behavioral Analyst | 637 Spreading Oak Ave, Deltona, FL 32738 | 2018-04-02 |
| 1689074080 | Leah Jacob | Student in an Organized Health Care Education/Training Program | 4150 Eastgate Dr, Apt 7308, Orlando, FL 32738 | 2014-09-04 |
| 1912320383 | Right Spirit Homecare,inc | Residential Treatment Facility, Physical Disabilities | 3368 Merchant Ter, Deltona, FL 32738 | 2014-01-21 |
| 1427377720 | Sonia Rivera | Occupational Therapy Assistant | 2278 Banister Street, Deltona, FL 32738 | 2010-05-26 |
| 1750546313 | Northeast Florida Health Services, Inc. | Family Medicine | 2160 Howland Blvd Ste 110, Deltona, FL 32738 | 2008-07-23 |
| 1083741672 | Wal-mart Stores East, L.p | Technician/Technologist | 101 Howland Blvd., Deltona, FL 32738 | 2007-02-28 |
| 1801923644 | Yvonne Green | Adult Companion | 2816 W Huron Drive, Agency for Persons With Disabilities, Deltona, FL 32738 | 2007-02-28 |
| 1508900572 | Eudelisa Cubela | Technician | 3335 Hyder Ave, Deltona, FL 32738 | 2007-02-16 |
| 1942356324 | Steven J Smith | Dentist | 1382 Howland Boulevard, Suite 104, Deltona, FL 32738 | 2007-01-26 |
| Find all providers in zip 32738 | ||||
| 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 |
|---|---|---|---|---|
| 1023550498 | Deltona Alf Management | Assisted Living Facility | 2306 N Normandy Blvd, Deltona, FL 32725 | 2016-11-16 |
| 1194197707 | Iris Manor LLC | Assisted Living Facility | 1295 Deltona Blvd, Deltona, FL 32725-6346 | 2015-10-22 |
| 1205207149 | Victor Martinez | Assisted Living Facility | 1812 Saxon Blvd, Deltona, FL 32725-4571 | 2015-10-19 |
| 1477989952 | Cunningham Elderly | Assisted Living Facility | 2909 Courtland Blvd, Deltona, FL 32738-1627 | 2013-09-17 |
| 1922341916 | Victoria's Place Assisted Living Inc. | Assisted Living Facility | 2708 Lightwood St, Deltona, FL 32738-9184 | 2013-03-28 |
| 1700174463 | Mi Casita Alf Inc. | Assisted Living Facility | 630 Stallings Ave, Deltona, FL 32738-9206 | 2011-07-15 |
| 1174850259 | Sixma Seniors | Assisted Living Facility | 2766 Sixma Rd, Deltona, FL 32738-9575 | 2009-11-10 |
| 1518293646 | Abraham Sebastian, Inc. | Assisted Living Facility | 662 Antoinette St, Deltona, FL 32725-2621 | 2009-10-23 |
| 1295990752 | Americare Assisted Living, Inc | Assisted Living Facility | 2992 Day Rd, Deltona, FL 32738-3456 | 2008-07-24 |
| 1619143682 | Andrea Caine | Assisted Living Facility | 1580 Drayton Ave, Deltona, FL 32725-5671 | 2008-04-30 |
| Find all providers in DELTONA | ||||
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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.