Citrus Pines Adult Family Care, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

41679 Issued in FL

Legal business name

CITRUS PINES ADULT FAMILY CARE, LLC

Practice address

5618 N Lecanto Hwy
Beverly Hills, FL 34465-2610

Phone

(352) 513-2024

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Daniel G Kern

Title

President

Phone

(352) 513-2024

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1780131276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5618 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "34465",
            "telephone_number": "352-513-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5618 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344652610",
            "telephone_number": "352-513-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS PINES ADULT FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-513-2024",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "41679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yunisleidys Castellanos Gonzalez
• Darlene Caulder, APRN
• Chukiat Chailitilerd, RPH
• Walter I Choung, MD
• Citrus County Counseling
• Co Exist Transportation LLC
• Magdalena Cognato, LMT
• Teresa Ann Colvin
• Wendy N. Corr
• Jeralyn Cross

• Adult Care Home Facility in Beverly Hills, FL
• Providers in Beverly Hills, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.