Nicole Reeves

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

6906923 Issued in FL

Legal business name

NICOLE REEVES

Doing business as

reeves manor llc

Practice address

2199 Hagood Loop
Crestview, FL 32536-5458

Phone

(850) 305-6697

NPI assigned

Jan 19, 2018

Last updated

Jan 19, 2018By 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

Nicole Reeves

Title

Owner

Phone

(850) 305-6697

Specialties & licenses 1

Addresses

Other names 1

• reeves manor llc Doing business as

Tax ID family

Nicole Reeves2 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.

• Reeves Manor LLC

  • Assisted Living Facility
  • Crestview, FL
  • NPI 1629736897
  NPD tax ID

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1376051623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 HAGOOD LOOP",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365458",
            "telephone_number": "850-305-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 HAGOOD LOOP",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365458",
            "telephone_number": "850-305-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE REEVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-305-6697"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "6906923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "reeves manor llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elin Beatrice. Olivia Nirlen, OTR
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• Assisted Living Facility in Crestview, FL
• Providers in Crestview, 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 Jan 19, 2018; 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.