NPIMap

Organization Active NPI

Eternally Rich LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tallahassee, FL
National Provider Identifier
1093554826
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ETERNALLY RICH LLC
Practice address
218 Daffodil Cir
Tallahassee, FL 32305-7072
Phone
(850) 322-9900
Fax
(850) 409-0494
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Adriane McFord-Green
Title
Co-Owner
Phone
(850) 322-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

218 Daffodil Cir
Tallahassee, FL 32305-7072

Mailing address

218 Daffodil Cir
Tallahassee, FL 32305-7072
Phone (850) 322-9900

Other names 1

  • ETERNALLY RICH GROUP HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eternally Rich Assisted Living Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1093554826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 DAFFODIL CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323057072",
            "telephone_number": "850-322-9900",
            "fax_number": "850-409-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DAFFODIL CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323057072",
            "telephone_number": "850-322-9900",
            "fax_number": "850-409-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNALLY RICH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "MCFORD-GREEN",
        "authorized_official_first_name": "ADRIANE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "850-322-9900"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETERNALLY RICH GROUP HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.