Organization Active NPI

A Place Like Home, Alf

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1144563016
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11499 Issued in FL
Legal business name
A PLACE LIKE HOME, ALF
Doing business as
A Place Like Home
Practice address
1971 Port Malabar Blvd NE
Palm Bay, FL 32905-5436
Phone
(321) 693-3325
Fax
(321) 821-5327
NPI assigned
Mar 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Dr. Diane Marie Walker, PSY.D.NPI 1427198233
Title
Administrator/Owner
Phone
(321) 693-3325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11499 FL Primary

Addresses

Primary practice location

1971 Port Malabar Blvd NE
Palm Bay, FL 32905-5436

Mailing address

6655 S US Highway 1
Grant, FL 32949-2221
Phone (321) 693-3325

Other names 1

  • A Place Like Home Doing business as

National Provider Directory

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": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1144563016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 S US HIGHWAY 1",
            "city": "GRANT",
            "state": "FL",
            "postal_code": "329492221",
            "telephone_number": "321-693-3325",
            "fax_number": "321-956-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 PORT MALABAR BLVD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055436",
            "telephone_number": "321-693-3325",
            "fax_number": "321-821-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLACE LIKE HOME, ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "321-693-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Place Like Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.