Christie'S Place Assisted Living Fac

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11757 Issued in FL

Legal business name

CHRISTIE'S PLACE ASSISTED LIVING FAC

Practice address

471 Almansa St NE
Palm Bay, FL 32907-3183

Phone

(321) 727-0905

Fax

(321) 727-0905

NPI assigned

Feb 15, 2011

Organization subpart

Yes

Parent organization

CHRISTIES.PLACE@YAHOO.COMAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marie Lourdes Philippe

Title

Owner/Administrator

Phone

(954) 549-5231

Specialties & licenses 1

Addresses

Other names 1

• Christie Place Assisted Living Facility Doing business as

Part of

Greenleaf Adult Family Care Home

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1013214725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 ALMANSA ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073183",
            "telephone_number": "321-727-0905",
            "fax_number": "321-727-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 ALMANSA ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073183",
            "telephone_number": "321-727-0905",
            "fax_number": "321-727-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE'S PLACE ASSISTED LIVING FAC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIES.PLACE@YAHOO.COM",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "PHILIPPE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "LOURDES",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-549-5231"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christie Place Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rose-Claire Christian
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• Darius Clark
• Nanette Sebrena Clark

• All providers in Palm Bay, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.