CRJ Enterprizes Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11818 Issued in FL

Legal business name

CRJ ENTERPRIZES INC.

Doing business as

Trinity House Assisted Living Facility

Practice address

775 Montego Bay Dr S
Merritt Island, FL 32953-3259

Phone

(321) 745-2126

Fax

(321) 454-3642

NPI assigned

Jun 5, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl Kay Mutter, MSN, RN

Title

Administrator

Phone

(321) 745-2126

Specialties & licenses 2

Addresses

Other names 1

• Trinity House Assisted Living Facility Doing business as

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

{
    "created_epoch": "1307232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307232000000",
    "number": "1053605238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 MONTEGO BAY DR S",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533259",
            "telephone_number": "321-745-2126",
            "fax_number": "321-454-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 MONTEGO BAY DR S",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533259",
            "telephone_number": "321-745-2126",
            "fax_number": "321-454-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRJ ENTERPRIZES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-05",
        "last_updated": "2011-06-05",
        "status": "A",
        "authorized_official_last_name": "MUTTER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-745-2126",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11818",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "RN9227576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity House Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Beth Craig, PT
• Craig Allan Cramer, HAS TRAINEE
• Peter Duke Crane, MD
• Christina Crary
• Terri Jean Creighton, RN
• Susan Cron, LCSW
• Steven Crouchley
• Margaret Cleary Crowder, RN
• Maycie A Cruz, PA-C
• Dara Tomoko Cunnion, DMD

• Assisted Living Facility in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.