At Home Care Assisted Living Facility, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AT HOME CARE ASSISTED LIVING FACILITY, INC.

Practice address

42042 Chinaberry St
Eustis, FL 32736-8358

Phone

(407) 948-0723

Fax

(321) 256-5193

NPI assigned

Nov 14, 2011

Organization subpart

No

Name

Mrs. Keisha Latoya Gist

Title

Administrator

Phone

(407) 948-0723

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2011.

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1669759015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42042 CHINABERRY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327368358",
            "telephone_number": "407-948-0723",
            "fax_number": "321-256-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42042 CHINABERRY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327368358",
            "telephone_number": "407-948-0723",
            "fax_number": "321-256-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME CARE ASSISTED LIVING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "GIST",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "LATOYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-948-0723",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Eustis, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.