THERAPEUTIC ASSISTED LIVING CORP.
NPI 1164018214
Assisted Living Facility in Palm Coast, FL

Active since December 14, 2020
25 LYNDENHURST LN, PALM COAST, FL 32137(904) 501-8991(844) 769-0772 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Therapeutic Assisted Living Corp. NPPES

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

THERAPEUTIC ASSISTED LIVING CORP. (NPI 1164018214) is a healthcare organization registered as an assisted living facility in Palm Coast, Florida and active in the NPI registry since December 2020. The organization lists Latasha D Gilyard, Alf Administrator, as its authorized official.

NPPES Registry Identity

NPI1164018214
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHERAPEUTIC ASSISTED LIVING CORP.
Location Address25 LYNDENHURST LNPalm Coast, FL 32137-9521
Mailing Address25 Lyndenhurst LnPalm Coast, FL 32137-9521 · (904) 501-8991 · Fax (844) 769-0772
Fax(844) 769-0772
Organization SubpartNo
Authorized OfficialLatasha D GilyardAlf Administrator · (904) 501-8991
Enumeration DateDecember 14, 2020
NPPES CertifiedDecember 14, 2020
NPI 1164018214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
25 LYNDENHURST LN, Palm Coast, FL 32137

Other Identifiers 1

Medicaid108468900FL

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 Therapeutic Assisted Living Corp.'s NPI number?

The NPI number for Therapeutic Assisted Living Corp. is 1164018214. It was assigned to this organization in the NPPES registry on December 14, 2020.

Where is Therapeutic Assisted Living Corp. located?

Therapeutic Assisted Living Corp. is located at 25 Lyndenhurst Ln, Palm Coast, FL 32137. The listed phone number is (904) 501-8991.

What is Therapeutic Assisted Living Corp.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Therapeutic Assisted Living Corp. was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.