SOUTHERN BREEZE LIVING, LLC (NPI# 1457773780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457773780 |
| Entity Type | Organization |
| Organization Name | SOUTHERN BREEZE LIVING, LLC |
| Practice Address |
18 Woodward Ln Palm Coast FL 32164-3103 |
| Practice Telephone | 3864477405 |
| Mailing Telephone | 3864477405 |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |
| Authorized Official Name | DENNIS DEAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3864477405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 12111 | FL | Nursing & Custodial Care Facilities |
| Street Address |
18 WOODWARD LN |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| 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 |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1447747670 | M H Tender Care Inc. | Assisted Living Facility | 36 Bronson Ln, Palm Coast, FL 32137-8725 | 2018-04-13 |
| 1720585003 | M H Tender Care Inc. | Assisted Living Facility | 9 Ponderosa Ln, Palm Coast, FL 32164-4921 | 2018-04-12 |
| 1376040741 | Murna M Hanson | Assisted Living Facility | 29 Prince John Ln, Palm Coast, FL 32164-7165 | 2018-04-11 |
| 1205349800 | Tigris Rivers | Assisted Living Facility | 10 Riddle Dr, Palm Coast, FL 32164-6525 | 2017-11-06 |
| 1538604764 | Good Sam's Assisted Living Residence, LLC | Assisted Living Facility | 1 Pebble Wood Ln, Palm Coast, FL 32164-7491 | 2016-12-26 |
| 1639548621 | Capstone Healthcare,l.l.c | Assisted Living Facility | 19 Port Echo Ln, Palm Coast, FL 32164-6733 | 2015-09-19 |
| 1265833131 | Pampered Parents, Alf, Inc. | Assisted Living Facility | 6 Seton Ct, Palm Coast, FL 32164-4430 | 2014-09-10 |
| 1336560937 | Cr Loving Care, Inc. | Assisted Living Facility | 74 Prince Michael Ln, Palm Coast, FL 32164-7154 | 2013-12-27 |
| 1033540984 | M H Tender Care Inc. | Assisted Living Facility | 9 Wainwood Pl, Palm Coast, FL 32164-7674 | 2013-12-03 |
| Find all providers in PALM COAST | ||||
| City | PALM COAST |
| Zip Code | 32164 |
Please comment or provide details below to improve the information on SOUTHERN BREEZE LIVING, LLC.
| 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.