DELTONA ALF MANAGEMENT (NPI# 1023550498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023550498 |
| Entity Type | Organization |
| Organization Name | DELTONA ALF MANAGEMENT |
| Other Organization Name | GOLD CHOICE DELTONA |
| Practice Address |
2306 N Normandy Blvd Deltona FL 32725 |
| Mailing Address |
2306 N. Normandy Blvd Deltona FL 32725 |
| Practice Telephone | 3862593860 |
| Practice Fax Number | 3862593872 |
| Mailing Telephone | 3862593860 |
| Mailing Fax Number | 3862593872 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | MR. DERICK WAYNE DEETER (MANAGER) |
| Authorized Official Telephone | 4072020046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | AL13087 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022682200 | 05 |
| Other Name | Type Code |
|---|---|
| Gold Choice Deltona | Doing Business As Name - Organization |
| Street Address |
2306 N NORMANDY BLVD |
| City | DELTONA |
| State | FL |
| Zip Code | 32725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1235674359 | Danielle Nichole Nussel | Behavioral Analyst | 1729 Templewood Ave, Deltona, FL 32725 | 2016-12-28 |
| 1245781806 | Advanced Medical Care, LLC | Family Medicine | 734 Elkham Blvd, Deltona, FL 32725 | 2016-10-19 |
| 1932500170 | Onshk LLC | Pharmacy | 2091 Saxon Blvd, Suite 100, Deltona, FL 32725 | 2014-09-08 |
| 1104239706 | Natalie Beecham-coppin | Social Worker | 323 Diamond Street, Deltona, FL 32725 | 2014-06-11 |
| 1871893826 | John E Peats | Speech-Language Pathologist | 2979 Wild Pepper Avenue, Deltona, FL 32725 | 2010-10-25 |
| 1558682328 | Lisa Krupa | Counselor | 667 Deltona Blvd., Deltona, FL 32725 | 2010-06-16 |
| 1730407917 | Robert E Kent | Physical Medicine & Rehabilitation | 813 Deltona Blvd, Deltona, FL 32725 | 2010-05-12 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| 1861637258 | Allen Jean Washington Sr. | Counselor | 51 Children Way, Enterprise, FL 32725 | 2008-12-12 |
| Find all providers in zip 32725 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326579178 | Fidelity Living LLC Group Home | Assisted Living Facility | 1941 Kingway Dr, Deltona, FL 32738-8619 | 2017-03-23 |
| 1194197707 | Iris Manor LLC | Assisted Living Facility | 1295 Deltona Blvd, Deltona, FL 32725-6346 | 2015-10-22 |
| 1205207149 | Victor Martinez | Assisted Living Facility | 1812 Saxon Blvd, Deltona, FL 32725-4571 | 2015-10-19 |
| 1477989952 | Cunningham Elderly | Assisted Living Facility | 2909 Courtland Blvd, Deltona, FL 32738-1627 | 2013-09-17 |
| 1922341916 | Victoria's Place Assisted Living Inc. | Assisted Living Facility | 2708 Lightwood St, Deltona, FL 32738-9184 | 2013-03-28 |
| 1700174463 | Mi Casita Alf Inc. | Assisted Living Facility | 630 Stallings Ave, Deltona, FL 32738-9206 | 2011-07-15 |
| 1174850259 | Sixma Seniors | Assisted Living Facility | 2766 Sixma Rd, Deltona, FL 32738-9575 | 2009-11-10 |
| 1518293646 | Abraham Sebastian, Inc. | Assisted Living Facility | 662 Antoinette St, Deltona, FL 32725-2621 | 2009-10-23 |
| 1295990752 | Americare Assisted Living, Inc | Assisted Living Facility | 2992 Day Rd, Deltona, FL 32738-3456 | 2008-07-24 |
| 1619143682 | Andrea Caine | Assisted Living Facility | 1580 Drayton Ave, Deltona, FL 32725-5671 | 2008-04-30 |
| Find all providers in DELTONA | ||||
Please comment or provide details below to improve the information on DELTONA ALF MANAGEMENT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.