Organization Active NPI

The Christian & Missionary Alliance Foundation Inc

  • Assisted Living Facility
  • Fort Myers, FL
National Provider Identifier
1093140451
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12163 Issued in FL
Legal business name
THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC
Practice address
13901 Shell Point PLZ
Fort Myers, FL 33908-2898
Phone
(239) 600-6400
Fax
(239) 600-6401
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Ms. Rita Marie Southern
Title
Director of Assisted Living
Phone
(239) 454-2179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12163 FL Primary

Addresses

Primary practice location

13901 Shell Point PLZ
Fort Myers, FL 33908-2898

Mailing address

15000 Shell Point Blvd
Fort Myers, FL 33908-1657
Phone (239) 600-6400

National Provider Directory

National Provider Directory
Tax ID family
Loren J Zehr MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1093140451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 SHELL POINT BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081657",
            "telephone_number": "239-600-6400",
            "fax_number": "239-600-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 SHELL POINT PLZ",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082898",
            "telephone_number": "239-600-6400",
            "fax_number": "239-600-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2025-09-12",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "SOUTHERN",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF ASSISTED LIVING",
        "authorized_official_telephone_number": "239-454-2179",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.