Eternally Rich LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ETERNALLY RICH LLC

Doing business as

Eternally Rich Assisted Living Facility

Practice address

218 Daffodil Cir
Tallahassee, FL 32305-7072

Phone

(850) 322-9900

NPI assigned

Dec 11, 2018

Last updated

May 2, 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

Mrs. Adriane M GreenNPI 1679054134

Title

Owner/Administrator

Phone

(850) 322-9900

Specialties & licenses 3

Addresses

Other names 1

• Eternally Rich Assisted Living Facility Doing business as

Tax ID family

Eternally Rich Assisted Living Facility2 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.

• Eternally Rich LLC

  dba Eternally Rich Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tallahassee, FL
  • NPI 1093554826
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adriane McFord Green

  • Adult Care Home Facility
  • Tallahassee, FL
  • NPI 1679054134
  NPD Authorized official

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1538630819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 DAFFODIL CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323057072",
            "telephone_number": "850-322-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DAFFODIL CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323057072",
            "telephone_number": "850-322-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNALLY RICH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ADRIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "850-322-9900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eternally Rich Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miriam Shahnaz Estok
• Samuel Estok, RPH
• Richard Roman Estrada II
• Danny Estupinan, M.D.
• Eternally Rich LLC (Eternally Rich Group Home)
• Ashlyn Brianna Ethridge
• Evalutech LLC
• Evan Earl Dussia II MD PLLC
• Amani B Evans
• Apryl D Evans

• Assisted Living Facility in Tallahassee, FL
• Providers in Tallahassee, 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 May 2, 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.