Organization Active NPI

Lindenlea Assisted Living Inc.

  • Assisted Living Facility
  • Deland, FL
National Provider Identifier
1508298860
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11216 Issued in FL
Legal business name
LINDENLEA ASSISTED LIVING INC.
Practice address
1180 Jackson Ranch Rd
Deland, FL 32724
Phone
(386) 740-9117
Fax
(386) 490-4889
NPI assigned
Aug 8, 2013
Last updated
Aug 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Vivienne Powis
Title
Owner/ Administrator
Phone
(386) 740-9117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11216 FL Primary

Addresses

Primary practice location

1180 Jackson Ranch Rd
Deland, FL 32724

Mailing address

1180 Jackson Ranch Rd
Deland, FL 32724-7900
Phone (386) 740-9117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1508298860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 JACKSON RANCH RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247900",
            "telephone_number": "386-740-9117",
            "fax_number": "386-490-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 JACKSON RANCH RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32724",
            "telephone_number": "386-740-9117",
            "fax_number": "386-490-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDENLEA ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "POWIS",
        "authorized_official_first_name": "VIVIENNE",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "386-740-9117"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.