Alternative Living Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5649 Issued in FL

Legal business name

ALTERNATIVE LIVING INC.

Doing business as

Crestview Manor

Practice address

603 N Pearl St
Crestview, FL 32536-2749

Phone

(850) 689-7850

Fax

(850) 689-7974

NPI assigned

Nov 18, 2011

Last updated

Nov 18, 2011By 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. Kimberly Ann Fraley

Title

Assistant Administrator

Phone

(850) 833-9212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crestview Manor Doing business as

Tax ID family

Alternative 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.

• Alternative Living, Inc.

  dba Twin Cities Pavilion

  • Assisted Living Facility
  • Niceville, FL
  • NPI 1326326869
  NPD tax ID

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1407123458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HOSPITAL DR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485066",
            "telephone_number": "850-833-9165",
            "fax_number": "850-833-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N PEARL ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362749",
            "telephone_number": "850-689-7850",
            "fax_number": "850-689-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "850-833-9212",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676877600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Ann Colby Algee
• Sydney E Alino, OTR/L
• Allegiance Resiliency Therapy L.L.C.
• Heather Allen, LMHC
• Kelly Allen
• Alternative Living, Inc. (Crestview Manor)
• Always Hope Developmental Services
• Amedisys Florida, LLC (Amedisys Home Health)
• Naana W Anakwah, PS
• Amy Southerland Anderson, PT

• 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 Nov 18, 2011; 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.