Organization Active NPI

Summer Time Alf, Inc.

  • Assisted Living Facility
  • Winter Park, FL
National Provider Identifier
1891198347
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SUMMER TIME ALF, INC.
Practice address
909 N Wymore Rd
Winter Park, FL 32789-1769
Phone
(407) 645-5515
Fax
(407) 599-5539
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Eshley May Pacamalan
Title
Treasurer
Phone
(407) 645-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

909 N Wymore Rd
Winter Park, FL 32789-1769

Mailing address

909 N Wymore Rd
Winter Park, FL 32789-1769
Phone (407) 645-5515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1891198347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N WYMORE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891769",
            "telephone_number": "407-645-5515",
            "fax_number": "407-599-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N WYMORE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891769",
            "telephone_number": "407-645-5515",
            "fax_number": "407-599-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER TIME ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "PACAMALAN",
        "authorized_official_first_name": "ESHLEY MAY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "407-645-5515"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.