NPIMap

Organization Active NPI

Deland Senior Care, LLC

Doing business as Alliance Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Deland, FL
National Provider Identifier
1366576837
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF10080961 Issued in FL
Legal business name
DELAND SENIOR CARE, LLC
Doing business as
Alliance Health and Rehabilitation Center
The Alliance Community
The Alliance Community for Retirement Living
Practice address
130 W Armstrong Ave
Deland, FL 32720-5861
Phone
(386) 734-6401
Fax
(386) 734-9168
NPI assigned
Mar 15, 2007
Last updated
Sep 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Taylor Huston, ESQ.
Title
General Counsel
Phone
(317) 514-5985

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL89 FL
Skilled Nursing Facility 314000000X SNF10080961 FL Primary

Addresses

Primary practice location

130 W Armstrong Ave
Deland, FL 32720-5861

Mailing address

130 W Armstrong Ave
Deland, FL 32720-5861
Phone (386) 734-6401

Other identifiers 3

IdentifierTypeStateIssuer
679337100MedicaidFL
020278900MedicaidFL
141178100MedicaidFL

Other names 3

  • Alliance Health and Rehabilitation Center Doing business as
  • The Alliance Community Doing business as
  • The Alliance Community for Retirement Living Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210913000746 FL Part A Provider - Skilled Nursing Facility 6901213289 Practice locations: Deland, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366576837. Details of each certification follow.

Skilled nursing facility certification: CCN 105349

Legal name
DELAND SENIOR CARE, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1978
Last certification
Feb 27, 2025
Beds
130
Ownership / control type
Partnership
Organization structure
LLCProprietary
Enrollment address
130 W Armstrong Ave
Deland, FL 32720-5861
Nursing home name
ALLIANCE HEALTH AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alliance Health and Rehabilitation CenterCCN 105349 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Aug 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130104.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0979717Alliance Health and Rehabilitation Center130 West Armstrong, Deland, FL 32720Certificate of waiverOct 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Alliance Community for Retirement Living Inc2 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.

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffrey Cleveland Individual 5% Or Greater Indirect Ownership Interest Feb 13, 2021 50%
Corporate Officer Feb 13, 2021 50%
Managing Control - Governing Body Jun 17, 2021
Adp of the SNF Sep 27, 2024
Samuel M Edwards Individual Operational/Managerial Control Jun 17, 2021
Adp of the SNF Jul 29, 2025
Geoffrey Fraser Individual 5% Or Greater Indirect Ownership Interest Mar 15, 2021 50%
Corporate Officer Jun 17, 2021 50%
Managing Control - Governing Body Jun 17, 2021
Adp of the SNF Sep 27, 2024
Organization, Deland, FL LLC, For-profit Adp of the SNF Sep 26, 2024
Chad Hurta Individual Operational/Managerial Control Jul 11, 2022
Adp of the SNF Apr 14, 2025
Taylor Huston Individual Operational/Managerial Control Mar 15, 2021
Deland Senior Investments I, LLC Organization, Melbourne, FL Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 13, 2021 50%
Operational/Managerial Control Mar 15, 2021 50%
Adp of the SNF Sep 27, 2024
Deland Senior Investments II, LLC Organization, Melbourne, FL Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 17, 2021 50%
Operational/Managerial Control Mar 15, 2021 50%
Adp of the SNF Sep 27, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1366576837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W ARMSTRONG AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205861",
            "telephone_number": "386-734-6401",
            "fax_number": "386-734-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W ARMSTRONG AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205861",
            "telephone_number": "386-734-6401",
            "fax_number": "386-734-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAND SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "HUSTON",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "317-514-5985",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL89",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF10080961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679337100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020278900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141178100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Alliance Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Alliance Community for Retirement Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.