Misty Meadows Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8031 Issued in FL

Legal business name

MISTY MEADOWS ASSISTED LIVING, INC.

Practice address

103 NW 298TH St
Newberry, FL 32669-2635

Phone

(352) 472-2820

Fax

(352) 472-0294

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Latonya Louise Greenlee

Title

Administrator

Phone

(352) 472-2820

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1932523578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NW 298TH ST",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326692635",
            "telephone_number": "352-472-2820",
            "fax_number": "352-472-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NW 298TH ST",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326692635",
            "telephone_number": "352-472-2820",
            "fax_number": "352-472-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY MEADOWS ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "GREENLEE",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-472-2820"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachi Mehta
• Dawn Renee Miller, PTA
• Erin Paige Miller, MD
• Lynn S Miller, OTR/L
• Tabresha Miller
• Jameka Rachelle Monroe, FAMILY NURSE PRACTIT
• Amanda Dolores Moo I, B.A., LMT
• Jacqueline Danita Morris
• Emaleigh Marie Munn, RPH
• Neeta S. Pohani M.D. P.a.

• Assisted Living Facility in Newberry, FL
• Providers in Newberry, 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 Mar 1, 2019; 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.