FESTA ENTERPRISES INC. (NPI# 1548507866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548507866 |
| Entity Type | Organization |
| Organization Name | FESTA ENTERPRISES INC. |
| Other Organization Name | VILLA PALMS ALF |
| Practice Address |
6722 Winkler Rd Fort Myers FL 33919-7204 |
| Mailing Address |
13860 Lily Pad Cir Fort Myers FL 33907-1825 |
| Practice Telephone | 2394335553 |
| Practice Fax Number | 2394819919 |
| Mailing Telephone | 2395653846 |
| Mailing Fax Number | 2394819919 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |
| Authorized Official Name | MRS. DOLORES J FESTA (OWNER) |
| Authorized Official Telephone | 2395653846 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 7353 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAID WAIVER | 680876000 | 01 |
| Other Name | Type Code |
|---|---|
| Villa Palms ALF | Doing Business As Name - Organization |
| Street Address |
6722 WINKLER RD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| 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 |
|---|---|---|---|---|
| 1346703774 | Jahphet Y Grant | Assisted Living Facility | 2252 Wright St # A, Fort Myers, FL 33916-4345 | 2019-04-11 |
| 1255874806 | Southen Oaks Senior Living Care LLC | Assisted Living Facility | 2117 Earl Rd, Fort Myers, FL 33901-8015 | 2016-11-30 |
| 1609237163 | Avalon Manor Assisted Living Facility LLC | Assisted Living Facility | 2580 First St, Fort Myers, FL 33901-2410 | 2016-03-11 |
| 1700253531 | Coral House Assisted Living Community, LLC | Assisted Living Facility | 3501 Hancock Bridge Pkwy, Fort Myers, FL 33903-7095 | 2015-08-27 |
| 1063833788 | Sri At Health Park, LLC | Assisted Living Facility | 9461 Healthpark Cir, Fort Myers, FL 33908-3614 | 2013-12-23 |
| 1386073088 | The Christian & Missionary Alliance Foundation Inc | Assisted Living Facility | 3600 Kings Crown Ct, Fort Myers, FL 33908-1648 | 2013-11-04 |
| 1093140451 | The Christian & Missionary Alliance Foundation Inc | Assisted Living Facility | 13901 Shell Point Plz, Fort Myers, FL 33908-2898 | 2013-09-04 |
| 1679875041 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 14521 Lakewood Blvd, Fort Myers, FL 33919-2829 | 2010-11-17 |
| 1073743167 | Ho Operating Company, LLC | Assisted Living Facility | 3625 Hidden Tree Ln, Fort Myers, FL 33901-8388 | 2009-07-23 |
| 1215184023 | Arden Courts of Ft Myers Fl LLC | Assisted Living Facility | 15950 Mcgregor Blvd, Fort Myers, FL 33908-2551 | 2008-08-22 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
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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.