Organization Active NPI

The Alliance Community for Retirement Living, Inc.

Doing business as The Center for the Assisted Living of the Alliance Community

  • Assisted Living Facility
  • Deland, FL
National Provider Identifier
1710394168
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
89 Issued in FL
Legal business name
THE ALLIANCE COMMUNITY FOR RETIREMENT LIVING, INC.
Doing business as
The Center for the Assisted Living of the Alliance Community
Practice address
600 S Florida Ave
Deland, FL 32720-5832
Phone
(386) 734-3481
Fax
(386) 734-2086
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
William A Anderson
Title
Executive Director
Phone
(386) 734-3481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 89 FL Primary

Addresses

Primary practice location

600 S Florida Ave
Deland, FL 32720-5832

Mailing address

600 S Florida Ave
Deland, FL 32720-5832
Phone (386) 734-3481

Other identifiers 2

IdentifierTypeStateIssuer
679337100MedicaidFL
679333900MedicaidFL

Other names 1

  • The Center for the Assisted Living of the Alliance Community Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0973883Alliance Community for Retirement Living600 S Florida Ave, Deland, FL 32720Certificate of waiverMay 22, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1710394168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S FLORIDA AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205832",
            "telephone_number": "386-734-3481",
            "fax_number": "386-734-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S FLORIDA AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205832",
            "telephone_number": "386-734-3481",
            "fax_number": "386-734-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ALLIANCE COMMUNITY FOR RETIREMENT LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-734-3481"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679337100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679333900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for the Assisted Living of the Alliance Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.