Iris Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12652 Issued in FL

Legal business name

IRIS MANOR LLC

Practice address

1295 Deltona Blvd
Deltona, FL 32725-6346

Phone

(917) 543-7474

Fax

(855) 984-1662

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Mary Michelle Arsenault

Title

Administrator

Phone

(917) 543-7474

Specialties & licenses 1

Addresses

Other names 1

• IRIS MANOR ALF Doing business as

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1194197707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 DELTONA BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327256346",
            "telephone_number": "917-543-7474",
            "fax_number": "855-984-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 DELTONA BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327256346",
            "telephone_number": "917-543-7474",
            "fax_number": "855-984-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "ARSENAULT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "917-543-7474"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRIS MANOR ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Incredible Family Health & Wellness
• Inner Balance Psychiatry PLLC
• Inner Compass Collective Therapy PLLC
• Antonia Inzunza
• Ips of Deltona LLC
• Tina Marie Jackson
• Jacob K Agamasu MD PA
• Rozina Haider Jaffer-Bruce
• Melisha Jagat
• Theresa Michelle Jakes, OTR/L

• Assisted Living Facility in Deltona, FL
• Providers in Deltona, 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 Oct 22, 2015; 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.