Active NPI
Naomi Janace Armistead
- Adult Care Home Facility
- Starke, FL
National Provider Identifier
1366782575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 6906444
- Legal business name
- NAOMI JANACE ARMISTEAD
- Practice address
- 2876 SE 109TH St
Starke, FL 32091-7461 - Phone
- (352) 468-2435
- Fax
- (352) 468-2435
- NPI assigned
- Feb 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Naomi Janace Armistead
- Title
- Owner
- Phone
- (352) 468-2435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 6906444 | FL | Primary |
Addresses
Primary practice location
2876 SE 109TH St
Starke, FL 32091-7461
Mailing address
2876 SE 109TH St
Starke, FL 32091-7461
Phone (352) 468-2435
Other names 1
- Pine Forest Manor, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361750400000",
"number": "1366782575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2876 SE 109TH ST",
"city": "STARKE",
"state": "FL",
"postal_code": "320917461",
"telephone_number": "352-468-2435",
"fax_number": "352-468-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2876 SE 109TH ST",
"city": "STARKE",
"state": "FL",
"postal_code": "320917461",
"telephone_number": "352-468-2435",
"fax_number": "352-468-2435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAOMI JANACE ARMISTEAD",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-25",
"last_updated": "2013-02-25",
"status": "A",
"authorized_official_last_name": "ARMISTEAD",
"authorized_official_first_name": "NAOMI",
"authorized_official_middle_name": "JANACE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-468-2435",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "6906444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pine Forest Manor, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Starke, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.