Active NPI
Analisa Duncan
- Assisted Living Facility
- Palm Bay, FL
National Provider Identifier
1396136842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL10937
- Practice address
- 490 Brighton Ave NE
Palm Bay
Palm Bay, FL 32907-2023 - Phone
- (321) 951-4070
- NPI assigned
- Feb 5, 2015
- Last updated
- Dec 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL10937 | FL | Primary |
Addresses
Primary practice location
490 Brighton Ave NE
Palm Bay
Palm Bay, FL 32907-2023
Mailing address
410 Mercer St NW
Palm Bay
Palm Bay, FL 32907-2933
Phone (617) 438-2866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL10937 | FL | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myrtle's Haven LLC | Assisted Living Facility | Current | Accepting new patients |
| Serenity Lifestyle Plus LLC | Assisted Living Facility | Current | Accepting new patients |
| Serenity Lifestyle Plus II | Assisted Living Facility | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Assisted Living Facility
- Palm Bay, FL
- NPI 1104504083
-
- Assisted Living Facility
- Palm Bay, FL
- NPI 1982107678
-
- Assisted Living Facility
- Palm Bay, FL
- NPI 1730889494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1396136842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 MERCER ST NW",
"address_2": "PALM BAY",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329072933",
"telephone_number": "617-438-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 BRIGHTON AVE NE",
"address_2": "PALM BAY",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329072023",
"telephone_number": "321-951-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "ANALISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-05",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL10937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.