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Organization Active NPI

Florida Assistant Living Organization, LLC

Doing business as Florida Assistant Living Organization Chateau

  • Assisted Living Facility
  • Madison, FL
National Provider Identifier
1740690171
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10295 Issued in FL
Legal business name
FLORIDA ASSISTANT LIVING ORGANIZATION, LLC
Doing business as
Florida Assistant Living Organization Chateau
Practice address
219 SE Abernathy Way
Madison, FL 32340-7044
Phone
(850) 973-2415
NPI assigned
May 7, 2014
Last updated
May 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Willie M. Peacock
Title
Administrator
Phone
(850) 973-2380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10295 FL Primary

Addresses

Primary practice location

219 SE Abernathy Way
Madison, FL 32340-7044

Mailing address

240 SE Stephens Ave
Madison, FL 32340-2656
Phone (850) 973-2380

Other names 1

  • Florida Assistant Living Organization Chateau Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Falo Hill4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1740690171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SE STEPHENS AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402656",
            "telephone_number": "850-973-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 SE ABERNATHY WAY",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323407044",
            "telephone_number": "850-973-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ASSISTANT LIVING ORGANIZATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-973-2380"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Assistant Living Organization Chateau",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.