Ormond Alf Management, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ORMOND ALF MANAGEMENT, LLC

Practice address

1410 Hand Ave
Ormond Beach, FL 32174-8193

Phone

(407) 202-0046

NPI assigned

Feb 6, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Derick Deeter, NHA

Title

Owner

Phone

(407) 202-0046

Specialties & licenses 1

Addresses

Other names 1

• Golden Abbey Doing business as

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1659762003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 AGNES AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506105",
            "telephone_number": "407-202-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 HAND AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748193",
            "telephone_number": "407-202-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORMOND ALF MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "DEETER",
        "authorized_official_first_name": "DERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-202-0046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Abbey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Ormond Beach, FL
• Providers in Ormond Beach, 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 Feb 6, 2015; 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.