Queen Elaine Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

QUEEN ELAINE ASSISTED LIVING, LLC

Practice address

1210 Queen Elaine Dr
Casselberry, FL 32707-3935

Phone

(407) 790-7050

NPI assigned

Nov 4, 2022

Last updated

Nov 4, 2022By 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

Ms. Debbie Dameus

Title

Administration

Phone

(954) 793-3537

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1396452686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 QUEEN ELAINE DR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073935",
            "telephone_number": "407-790-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 QUEEN ELAINE DR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073935",
            "telephone_number": "407-790-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN ELAINE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "DAMEUS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "954-793-3537",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Casselberry, FL
• Providers in Casselberry, 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 Nov 4, 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.

Verify at the official NPI Registry.