Holmes Creek Assisted Living Facility, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL5584 Issued in FL

Legal business name

HOLMES CREEK ASSISTED LIVING FACILITY, INC.

Practice address

3732 Roche Ave
Vernon, FL 32462-3373

Phone

(850) 535-1160

Fax

(850) 535-4713

NPI assigned

Jul 16, 2010

Last updated

Jul 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Hall

Title

President

Phone

(850) 258-4428

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1326351545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "VERNON",
            "state": "FL",
            "postal_code": "324620390",
            "telephone_number": "850-535-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 ROCHE AVE",
            "city": "VERNON",
            "state": "FL",
            "postal_code": "324623373",
            "telephone_number": "850-535-1160",
            "fax_number": "850-535-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMES CREEK ASSISTED LIVING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-258-4428"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL5584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Joy Daniels, RN
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• Elks Therapy PLLC
• Hammack's Retirement Home
• Health First Research Group Inc
• Kathleen Jackson
• Kenneth L Jones, PA-C
• Erin Lynn Keip-Strausbaugh, LMHC
• L&S Home Health Care
• Jessica Lynn Mahaffey

• Assisted Living Facility (Mental Illness) in Vernon, FL
• Providers in Vernon, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.