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

Q: What is Cristal Palace Resort Pb, LLC.'s NPI number?

The NPI number for Cristal Palace Resort Pb, LLC. is 1235517988. It was assigned to this organization in the NPPES registry on May 14, 2015. The provider is doing business as Cristal Palace Resort Pb LLC.

Q: What is Cristal Palace Resort Pb, LLC.'s specialty?

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

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: August 23, 2026.

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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 NPPES & CMS

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

What is Cristal Palace Resort Pb, LLC.'s NPI number?

The NPI number for Cristal Palace Resort Pb, LLC. is 1235517988. It was assigned to this organization in the NPPES registry on May 14, 2015. The provider is doing business as Cristal Palace Resort Pb LLC.

Where is Cristal Palace Resort Pb, LLC. located?

Cristal Palace Resort Pb, LLC. is located at 1881 Palm Bay Rd NE, Palm Bay, FL 32905. The listed phone number is (321) 951-2989.

What is Cristal Palace Resort Pb, LLC.'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 Cristal Palace Resort Pb, LLC. was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.