Restoration Homes Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RESTORATION HOMES ASSISTED LIVING FACILITY

Practice address

135 Manseau Dr
Winter Haven, FL 33880-1719

Phone

(863) 875-4961

Fax

(863) 229-7186

NPI assigned

Aug 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Cayonna M Moore-Strodder

Title

Administrator

Phone

(863) 662-0550

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Cayonna M. Moore Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cayonna Moore

  • Nurse's Aide
  • Winter Haven, FL
  • NPI 1205218039
  NPD (past)

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1487178166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MANSEAU DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801719",
            "telephone_number": "863-875-4961",
            "fax_number": "863-229-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MANSEAU DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801719",
            "telephone_number": "863-875-4961",
            "fax_number": "863-229-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION HOMES ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "MOORE-STRODDER",
        "authorized_official_first_name": "CAYONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-662-0550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014960000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cayonna M. Moore",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cayonna M. Moore",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dave Reid, PA-C
• Kelley Reiff, LCSW
• Richard Reeve Renardson, CFA
• Lauren Elizabeth Renaud, O.D.
• Katelin Lee Ann Kelley Renouf
• Gloria Restoy, RBT-24-355005
• Resurgence Care, PLLC
• Retina Partners of Florida
• Lisa Duffy Reuther, M.ED., CCC-SLP
• Pamela Reyes Guerrero, M.D.

• Assisted Living Facility in Winter Haven, FL
• Providers in Winter Haven, 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 Jul 22, 2021; 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.