Organization Active NPI

Citrus Amber of Florida Inc

Doing business as countryside haven alf

  • Assisted Living Facility
  • Palm Harbor, FL
National Provider Identifier
1730845322
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CITRUS AMBER OF FLORIDA INC
Doing business as
countryside haven alf
Practice address
6960 County Road 95
Palm Harbor, FL 34684-4403
Phone
(240) 640-1583
NPI assigned
Nov 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Mr. Denis Lubinga
Title
President
Phone
(240) 640-1583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6960 County Road 95
Palm Harbor, FL 34684-4403

Mailing address

6960 County Road 95
Palm Harbor, FL 34684-4403
Phone (240) 640-1583

Other names 1

  • countryside haven alf Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1730845322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 COUNTY ROAD 95",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844403",
            "telephone_number": "240-640-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 COUNTY ROAD 95",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844403",
            "telephone_number": "240-640-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS AMBER OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "LUBINGA",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-640-1583",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "countryside haven alf",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.