DELAND MANOR ASSISTED LIVING CORP


Address: 245 S. Amelia Ave, Deland, FL 32724
Phone: (386) 624-7777

DELAND MANOR ASSISTED LIVING CORP (NPI# 1790294742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790294742
Entity Type Organization
Organization Name DELAND MANOR ASSISTED LIVING CORP
Practice Address 245 S. Amelia Ave
Deland
FL 32724
Mailing Address 245 S Amelia Ave
Deland
FL 32724-5913
Practice Telephone (386) 624-7777
Practice Fax Number 3862797341
Mailing Telephone 3866247777
Mailing Fax Number 3862797341
Enumeration Date 2017-09-21
Last Update Date 2017-09-21
Authorized Official Name MR. DENNIS FABIAN JAVIER (ADMINISTRATOR)
Authorized Official Telephone 4074536541
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility AL12944 FL Nursing & Custodial Care Facilities

Office Location

Street Address 245 S. AMELIA AVE
City DELAND
State FL
Zip Code 32724

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528549490 Ultra Health Providers of Florida Internal Medicine 105 Asterbrooke Dr, Deland, FL 32724 2018-08-28
1811473275 April Gustafson Nurse Practitioner 557 Adenmore Ter, Deland, FL 32724 2018-07-18
1245720820 Total Renal Laboratories Inc Clinical Medical Laboratory 3000 Davita Way, Deland, FL 32724 2018-05-18
1639617954 Starting Point Mental Health, LLC Counselor 620 East New York Ave Ste B, Deland, FL 32724 2017-02-07
1255877221 Emily Eunice Specialist/Technologist 2589 W Lake Dr., Deland, FL 32724 2017-01-13
1073960357 Robert Solomon Jr. Family Medicine 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 2016-05-17
1730535568 Harold Alexander Hearing Instrument Specialist 124 S. Amelia Ave, Unit #b, Deland, FL 32724 2016-05-11
1720406747 Angel Care Homes LLC Assisted Living Facility 1349 E. Wisconsin Avenue, Deland, FL 32724 2014-04-07
1508298860 Lindenlea Assisted Living Inc. Assisted Living Facility 1180 Jackson Ranch Rd, Deland, FL 32724 2013-08-08
1457581217 Christopher H Rae Dentist 131 Victoria Commons Blvd, Deland, FL 32724 2009-07-15
Find all providers in zip 32724

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790154565 Clearview Health Group Assisted Living Facility 1075 New St E, Deland, FL 32724-5638 2015-09-22
1710394168 The Alliance Community for Retirement Living, Inc. Assisted Living Facility 600 S Florida Ave, Deland, FL 32720-5832 2014-07-17
1073927836 Teresa N Gascon Assisted Living Facility 768 S Dexter Ave, Deland, FL 32720-6618 2014-06-19
1720406747 Angel Care Homes LLC Assisted Living Facility 1349 E. Wisconsin Avenue, Deland, FL 32724 2014-04-07
1295159879 Brookdale Senior Living Communities, Inc. Assisted Living Facility 1210 N Stone St, Deland, FL 32720-0915 2014-02-18
1215365481 Oak Manor, Inc. Assisted Living Facility 1771 W Minnesota Ave, Deland, FL 32720-2645 2013-10-24
1275969628 Deland Geriatric Care, Inc. Assisted Living Facility 208 Blue Crystal Drive, Deland, FL 32720 2013-09-17
1508298860 Lindenlea Assisted Living Inc. Assisted Living Facility 1180 Jackson Ranch Rd, Deland, FL 32724 2013-08-08
1750723938 Yvette Irizarry Assisted Living Facility 1526 Monroe St, Deland, FL 32720-8447 2013-07-29
1073956827 Sunny Ridge Retirement and Alf Assisted Living Facility 1713 W Euclid Ave, Deland, FL 32720-2930 2013-04-11
Find all providers in DELAND

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City DELAND
Zip Code 32724

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Dataset Information

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.

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