AT HOME CARE ASSISTED LIVING FACILITY, INC. (NPI# 1669759015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669759015 |
| Entity Type | Organization |
| Organization Name | AT HOME CARE ASSISTED LIVING FACILITY, INC. |
| Practice Address |
42042 Chinaberry St Eustis FL 32736-8358 |
| Practice Telephone | 4079480723 |
| Practice Fax Number | 3212565193 |
| Mailing Telephone | 4079480723 |
| Mailing Fax Number | 3212565193 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | MRS. KEISHA LATOYA GIST (ADMINISTRATOR) |
| Authorized Official Telephone | 4079480723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
42042 CHINABERRY ST |
| City | EUSTIS |
| State | FL |
| Zip Code | 32736-8358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568831964 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 24420 Sr 44, Eustis, FL 32736 | 2015-09-16 |
| 1114323888 | Cheryl Baylis | Early Intervention Provider Agency | 37328 N County Road 44a, Eustis, FL 32736 | 2014-11-07 |
| 1225387228 | Terryl Christina Chandler | Speech-Language Pathologist | 3173 0ak Brook Lane, Eustis, FL 32736 | 2012-09-05 |
| 1528315355 | Aging Concepts, LLC | Home Health | 3759 Blue Crown Ln, Eustis, FL 32736-2249 | 2012-08-10 |
| 1114474806 | Pinnacle Therapy Services | Speech-Language Pathologist | 3173 Oak Brook Ln, Eustis, FL 32736-2265 | 2016-09-09 |
| 1740761345 | Tamra Ann Crawford | Speech-Language Pathologist | 19341 Spring Oak Dr, Eustis, FL 32736-7214 | 2018-08-22 |
| 1184732109 | Brian Francis Liebersbach | Internal Medicine | 19333 Spring Oak Dr, Eustis, FL 32736-7214 | 2006-08-29 |
| 1588851562 | Brian F Liebersbach Md Phd Pa | Hospitalist | 19333 Spring Oak Dr, Eustis, FL 32736-7214 | 2007-10-03 |
| 1629077573 | Miratiqullah Hessami | Internal Medicine | 33425 E Lake Joanna Dr, Eustis, FL 32736-7249 | 2005-07-21 |
| 1033438759 | M.atiq Hessami,m.d.,p.a. | Clinic/Center | 33425 E Lake Joanna Dr, Eustis, FL 32736-7249 | 2010-05-19 |
| Find all providers in zip 32736 | ||||
| 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 |
|---|---|---|---|---|
| 1285044156 | Kyr Tender Care LLC | Assisted Living Facility | 429 E Idlewild Ave, Eustis, FL 32726-6450 | 2014-05-01 |
| 1770921231 | Lake View Nutrition Consulting Svcs. Inc. | Assisted Living Facility | 907 E Orange Ave, Eustis, FL 32726-6249 | 2013-06-06 |
| 1356587034 | David Forster | Assisted Living Facility | 36120 Huff Road, Eustis, FL 32736-9335 | 2008-12-30 |
| 1427231554 | Ambray and Labayne Corp | Assisted Living Facility | 228 N Center St, Eustis, FL 32726-3514 | 2007-12-12 |
| 1497743439 | Ruleme Place, LLC | Assisted Living Facility | 2808 Ruleme St, Eustis, FL 32726-6527 | 2005-10-13 |
| 1962921585 | Ellie's Alf of Eustis | Assisted Living Facility | 907 E Orange Ave, Eustis, FL 32726-6249 | 2017-09-14 |
| 1093183725 | Slavko LLC | Assisted Living Facility | 907 E Orange Ave, Eustis, FL 32726-6249 | 2015-09-11 |
| 1629406624 | Malaya Care, LLC | Assisted Living Facility | 907 E Orange Ave, Eustis, FL 32726-6249 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275372 | Loving Family Senior Care, LLC | Assisted Living Facility | 2323 Nw 34th St, Miami, FL 33142-5307 | 2020-11-08 |
| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 1982205787 | Pd & Sr, L.L.C. | Assisted Living Facility | 730 Frisco St Se, Palm Bay, FL 32909-3711 | 2020-11-06 |
| 1982205019 | Cantillo Love & Care LLC | Assisted Living Facility | 1045 W 23rd St, Hialeah, FL 33010-1922 | 2020-11-04 |
| 1194326728 | Bliss Life Residential Care | Assisted Living Facility | 402 Arthur Ave, Lehigh Acres, FL 33936-7412 | 2020-11-02 |
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
| 1417556028 | 5081 Cambridge LLC | Assisted Living Facility | 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 | 2020-10-23 |
| 1134728926 | Pacifica Lauderhill LLC | Assisted Living Facility | 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 | 2020-10-22 |
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| 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.