Active Care Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ACTIVE CARE ASSISTED LIVING FACILITY

Doing business as

Active care Assisted living Facility

Practice address

2436 Lake Jackson Cir
Apopka, FL 32703-5846

Phone

(321) 948-5569

NPI assigned

Sep 14, 2018

Last updated

Sep 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krystal Patterson, B.S.

Title

Owner/Administrator

Phone

(321) 948-5569

Specialties & licenses 1

Addresses

Other names 1

• Active care Assisted living Facility Doing business as

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1902389927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 LAKE JACKSON CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035846",
            "telephone_number": "321-948-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 LAKE JACKSON CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035846",
            "telephone_number": "321-948-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CARE ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "321-948-5569",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active care Assisted living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayra Abreu, M.D.
• Kimberly Acevedo
• Liannis Acosta Lores, BSN,RN
• Irma Acosta, PA-C
• Rubin Daniel Acosta, COTA/L
• Allan Adam Adajar, M.D.
• Anthony Adamitis
• Latila Adams
• Tammy Lee Adams, PTA
• Ads Medical Group LLC

• Assisted Living Facility in Apopka, FL
• Providers in Apopka, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.