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THE PROMISED LAND ALF INC
NPI 1194297606
Assisted Living Facility in Cape Coral, FL

Active since December 21, 2018
1041 NE PINE ISLAND LN, CAPE CORAL, FL 33909(239) 288-8502 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2021, Dec 21, 2018 (2 updates tracked since 2018).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Assisted Living Facility

About THE PROMISED LAND ALF INC

This page provides the complete NPI Profile along with additional information for The Promised Land Alf Inc, a provider established in Cape Coral, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1194297606 assigned on December 2018. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Alexis Matias Rn (Owner)

NPI
1194297606 Verify this NPI
Provider Name
THE PROMISED LAND ALF INC
Entity Type
Organization
Location Address
1041 NE PINE ISLAND LN CAPE CORAL, FL 33909
Location Phone
(239) 288-8502
Mailing Address
1041 NE PINE ISLAND LN CAPE CORAL, FL 33909
Mailing Phone
(239) 288-8502
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2018
Last Update Date
06-17-2021
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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
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ALEXIS MATIAS RN

Authorized Official Title
OWNER
Authorized Official Phone
(239) 288-8502

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Frequently Asked Questions

What is THE PROMISED LAND ALF INC's NPI number?

The NPI number assigned to this healthcare provider is 1194297606, enumerated as an "organization" on December 21, 2018.

Where is the provider located?

The provider is located at 1041 NE PINE ISLAND LN CAPE CORAL, FL 33909 and the phone number is (239) 288-8502.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.