MR. ALAN GERARD SPEARS
NPI 1104240159
Assisted Living Facility in Merritt Island, FL

Active since February 11, 2014
1275 N BANANA RIVER DR UNIT 5, MERRITT ISLAND, FL 32952(321) 454-9528(321) 454-9528 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Assisted Living Facility

About ALAN SPEARS

This page provides the complete NPI Profile along with additional information for Alan Spears, a provider established in Merritt Island, Florida with a medical specialization in Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1104240159 assigned on February 2014. The practitioner's primary taxonomy code is 310400000X with license number AL 11441 (FL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1104240159 Verify this NPI
Provider Name
MR. ALAN GERARD SPEARS
Gender
Male
Entity Type
Individual
Location Address
1275 N BANANA RIVER DR UNIT 5 MERRITT ISLAND, FL 32952
Location Phone
(321) 454-9528
Location Fax
(321) 454-9528
Mailing Address
1275 N BANANA RIVER DR UNIT 5 MERRITT ISLAND, FL 32952
Mailing Phone
(321) 454-9528
Mailing Fax
(321) 454-9528
Is Sole Proprietor?
Yes
Enumeration Date
02-11-2014
Last Update Date
02-11-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL 11441
License State
FL
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104240159, enumerated as an "individual" on February 11, 2014.

The provider is located at 1275 N BANANA RIVER DR UNIT 5 MERRITT ISLAND, FL 32952 and the phone number is (321) 454-9528.

Assisted Living Facility with taxonomy code 310400000X.