WINNIFRED ASSISTED LIVING FACILITY
NPI 1194076695
Assisted Living Facility in Palm Bay, FL

Q: What is Winnifred Assisted Living Facility's NPI number?

The NPI number for Winnifred Assisted Living Facility is 1194076695. It was assigned to this organization in the NPPES registry on September 24, 2012.

Q: What is Winnifred Assisted Living Facility's specialty?

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

Active since September 24, 2012

1302 GINZA RD NW, PALM BAY, FL 32907(321) 821-4699(321) 821-4699 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Winnifred Assisted Living Facility NPPES

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

WINNIFRED ASSISTED LIVING FACILITY (NPI 1194076695) is a healthcare organization registered as an assisted living facility in Palm Bay, Florida and active in the NPI registry since September 2012. The organization lists Kavine Barrett, Administrator, as its authorized official.

NPPES Registry Identity

NPI1194076695

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameWINNIFRED ASSISTED LIVING FACILITY

Location Address1302 GINZA RD NWPalm Bay, FL 32907-7918

Mailing Address1302 Ginza Rd NwPalm Bay, FL 32907-7918 · (321) 821-4699 · Fax (321) 821-4699

Phone(321) 821-4699

Fax(321) 821-4699

Organization SubpartNo

Authorized OfficialKavine BarrettAdministrator · (321) 821-4699

Enumeration DateSeptember 24, 2012

✔ NPI 1194076695 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 · 11950

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.

1302 GINZA RD NW, Palm Bay, FL 32907

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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 Winnifred Assisted Living Facility's NPI number?

The NPI number for Winnifred Assisted Living Facility is 1194076695. It was assigned to this organization in the NPPES registry on September 24, 2012.

Where is Winnifred Assisted Living Facility located?

Winnifred Assisted Living Facility is located at 1302 Ginza Rd NW, Palm Bay, FL 32907. The listed phone number is (321) 821-4699.

What is Winnifred Assisted Living Facility'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 Winnifred Assisted Living Facility was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.