ALTERNATIVE LIVING, INC. (NPI# 1154609691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154609691 |
| Entity Type | Organization |
| Organization Name | ALTERNATIVE LIVING, INC. |
| Other Organization Name | CRESTVIEW MANOR |
| Practice Address |
603 North Pearl Street Crestview FL 32536 |
| Mailing Address |
207 Hospital Drive Fort Walton Beach FL 32548 |
| Practice Telephone | 8506897850 |
| Practice Fax Number | 8506897974 |
| Mailing Telephone | 8508339165 |
| Mailing Fax Number | 8508339174 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |
| Authorized Official Name | MRS. RUTH R. LOVEJOY (ADMINISTRATOR) |
| Authorized Official Telephone | 8508339165 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL5649 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 676877600 | 05 |
| Other Name | Type Code |
|---|---|
| Crestview Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326326869 | Alternative Living, Inc. | Assisted Living Facility | 1053 John Sims Parkway, Niceville, FL 32578 | 2011-08-02 |
| Street Address |
603 NORTH PEARL STREET |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684901 | Eva Maria I Matute | Adult Companion | 6050 Trestle St, Crestview, FL 32536 | 2018-06-29 |
| 1669989232 | Lauren Estep Flowers | Physician Assistant | 550 Redstone Ave W Ste 370, Crestview, FL 32536 | 2018-01-04 |
| 1427444868 | Jessie Huisken | Social Worker | 5890 Saratoga Dr, Crestview, FL 32536 | 2015-04-13 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1487821526 | Michael G Foley Md Pa | Internal Medicine | 524 James Lee Blvd W, Crestview, FL 32536 | 2008-05-08 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1164631511 | Caring Hearts Pediatric Extended Care Center, Inc | Clinic/Center | 380 Medcrest Dr, Crestview, FL 32536 | 2007-05-22 |
| 1669697751 | Crestview Chiropractic Clinic, Inc. | Chiropractor | 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 | 2007-04-16 |
| 1457492886 | Roy M Nakaiye | Dentist | 222 Cedar Ave, Crestview, FL 32536 | 2007-02-09 |
| 1114063187 | Misti D Anderson | Counselor | 502 N. Ferdon Blvd., B, Crestview, FL 32536 | 2007-01-29 |
| Find all providers in zip 32536 | ||||
| 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 |
|---|---|---|---|---|
| 1376051623 | Nicole Reeves | Assisted Living Facility | 2199 Hagood Loop, Crestview, FL 32536-5458 | 2018-01-19 |
| 1396264263 | Integrity - Crescent Park Village, LLC | Assisted Living Facility | 551 Redstone Ave W, Crestview, FL 32536-6435 | 2017-09-12 |
| 1124467345 | Safe and Secure Respite Care, LLC | Assisted Living Facility | 3091 Skyline Dr, Crestview, FL 32539-8176 | 2013-06-20 |
| 1407123458 | Alternative Living Inc. | Assisted Living Facility | 603 N Pearl St, Crestview, FL 32536-2749 | 2011-11-18 |
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| 1194326728 | Bliss Life Residential Care | Assisted Living Facility | 402 Arthur Ave, Lehigh Acres, FL 33936-7412 | 2020-11-02 |
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
| 1417556028 | 5081 Cambridge LLC | Assisted Living Facility | 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 | 2020-10-23 |
| 1134728926 | Pacifica Lauderhill LLC | Assisted Living Facility | 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 | 2020-10-22 |
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| 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.