MOTHERLYCARE ASSISTED LIVING FACILITY, LLC (NPI# 1366805764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366805764 |
| Entity Type | Organization |
| Organization Name | MOTHERLYCARE ASSISTED LIVING FACILITY, LLC |
| Practice Address |
5 Big Dipper Ln Palm Coast FL 32137-9355 |
| Mailing Address |
12 Cedarwood Ct Palm Coast FL 32137-8947 |
| Practice Telephone | 3867421148 |
| Practice Fax Number | 3867421151 |
| Mailing Telephone | 3867421148 |
| Mailing Fax Number | 3867421151 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |
| Authorized Official Name | CECILIA HIDALGO VICENCIO (OWNER/ ADMINISTRATOR) |
| Authorized Official Telephone | 3867421148 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL12779 | FL | Nursing & Custodial Care Facilities |
| Street Address |
5 BIG DIPPER LN |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-9355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811042005 | Alternate Home Care Specialist, Inc. | Assisted Living Facility | 5 Big Dipper Ln, Palm Coast, FL 32137-9355 | 2007-01-25 |
| 1326478348 | Alternate Home Care Spec. Inc | In Home Supportive Care | 5 Big Dipper Ln, Palm Coast, FL 32137-9355 | 2013-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| 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 |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1447747670 | M H Tender Care Inc. | Assisted Living Facility | 36 Bronson Ln, Palm Coast, FL 32137-8725 | 2018-04-13 |
| 1720585003 | M H Tender Care Inc. | Assisted Living Facility | 9 Ponderosa Ln, Palm Coast, FL 32164-4921 | 2018-04-12 |
| 1376040741 | Murna M Hanson | Assisted Living Facility | 29 Prince John Ln, Palm Coast, FL 32164-7165 | 2018-04-11 |
| 1205349800 | Tigris Rivers | Assisted Living Facility | 10 Riddle Dr, Palm Coast, FL 32164-6525 | 2017-11-06 |
| 1538604764 | Good Sam's Assisted Living Residence, LLC | Assisted Living Facility | 1 Pebble Wood Ln, Palm Coast, FL 32164-7491 | 2016-12-26 |
| 1639548621 | Capstone Healthcare,l.l.c | Assisted Living Facility | 19 Port Echo Ln, Palm Coast, FL 32164-6733 | 2015-09-19 |
| 1265833131 | Pampered Parents, Alf, Inc. | Assisted Living Facility | 6 Seton Ct, Palm Coast, FL 32164-4430 | 2014-09-10 |
| 1457773780 | Southern Breeze Living, LLC | Assisted Living Facility | 18 Woodward Ln, Palm Coast, FL 32164-3103 | 2014-01-06 |
| 1336560937 | Cr Loving Care, Inc. | Assisted Living Facility | 74 Prince Michael Ln, Palm Coast, FL 32164-7154 | 2013-12-27 |
| Find all providers in PALM COAST | ||||
| City | PALM COAST |
| Zip Code | 32137 |
Please comment or provide details below to improve the information on MOTHERLYCARE ASSISTED LIVING FACILITY, LLC.
| 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.