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CRESTVIEW MANOR
NPI 1154609691
Assisted Living Facility in Crestview, FL

Active since August 02, 2011CLIA 10D0953730 · Waiver
603 NORTH PEARL STREET, CRESTVIEW, FL 32536(850) 689-7850(850) 689-7974 Get Directions Write a Review

NPPES record last updated: August 2, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Crestview Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESTVIEW MANOR (NPI 1154609691) is a healthcare organization registered as an assisted living facility in Crestview, Florida and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through October 29, 2027 and lists Ruth R. Lovejoy, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154609691
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameALTERNATIVE LIVING, INC.
Location Address603 NORTH PEARL STREETCrestview, FL 32536
Mailing Address207 Hospital DriveFort Walton Beach, FL 32548 · (850) 833-9165 · Fax (850) 833-9174
Phone(850) 689-7850
Fax(850) 689-7974
Organization SubpartNo
Authorized OfficialRuth R. LovejoyAdministrator · (850) 833-9165
Enumeration DateAugust 2, 2011
✔ NPI 1154609691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL5649
Definition
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.
603 NORTH PEARL STREET, Crestview, FL 32536
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Other Names 1

Doing Business AsCrestview Manor

Other Identifiers 1

Medicaid676877600FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0953730

Alternative Living, Inc · Fort Walton Beach, FL
Active · expires Oct 29, 2027
CLIA Number10D0953730
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorKimberly A. Fraley
Laboratory Phone(850) 833-9165
Laboratory LocationAlternative Living, Inc207 Hospital Drive, Fort Walton Beach, FL 32548
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alternative Living, Inc.'s NPI number?

The NPI number for Alternative Living, Inc. is 1154609691. It was assigned to this organization in the NPPES registry on August 2, 2011. The provider is doing business as Crestview Manor.

Where is Alternative Living, Inc. located?

Alternative Living, Inc. is located at 603 North Pearl Street, Crestview, FL 32536. The listed phone number is (850) 689-7850.

What is Alternative Living, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Alternative Living, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0953730) is associated with this NPI, valid through October 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alternative Living, Inc. was last updated on August 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.