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CRISTAL PALACE RESORT PB LLC
NPI 1235517988
Assisted Living Facility in Palm Bay, FL

Active since May 14, 2015
1881 PALM BAY RD NE, PALM BAY, FL 32905(321) 951-2989 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cristal Palace Resort Pb Llc NPPES

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

CRISTAL PALACE RESORT PB LLC (NPI 1235517988) is a healthcare organization registered as an assisted living facility in Palm Bay, Florida and active in the NPI registry since May 2015. The organization lists Renea Phenix, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235517988
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCRISTAL PALACE RESORT PB, LLC.
Location Address1881 PALM BAY RD NEPalm Bay, FL 32905-2978
Mailing Address1881 Palm Bay Rd NePalm Bay, FL 32905-2978 · (321) 951-2989
Phone(321) 951-2989
Organization SubpartNo
Authorized OfficialRenea PhenixAdministrator · (321) 951-2989
Enumeration DateMay 14, 2015
✔ NPI 1235517988 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 · AL12660
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.

1881 PALM BAY RD NE, Palm Bay, FL 32905
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Other Names 1

Doing Business AsCristal Palace Resort Pb Llc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADRIAN EDUARDO AIL
Assisted Living Facility
1881 PALM BAY RD NE
PALM BAY, FL 32905
Brevard County (321) 951-2989

Frequently Asked Questions

What is CRISTAL PALACE RESORT PB, LLC.'s NPI number?

The NPI number assigned to this healthcare provider is 1235517988, enumerated as an "organization" on May 14, 2015.

Where is the provider located?

The provider is located at 1881 PALM BAY RD NE PALM BAY, FL 32905 and the phone number is (321) 951-2989.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.