SPRUCE CREEK ASSISTED LIVING ,LLC
NPI 1285165233
Assisted Living Facility in Ormond Beach, FL

Q: What is Spruce Creek Assisted Living ,llc's NPI number?

The NPI number for Spruce Creek Assisted Living ,llc is 1285165233. It was assigned to this organization in the NPPES registry on March 22, 2017.

Q: What is Spruce Creek Assisted Living ,llc's specialty?

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

Active since March 22, 2017

762 COBBLESTONE WAY, ORMOND BEACH, FL 32174(407) 310-9405 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Spruce Creek Assisted Living ,llc NPPES

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

SPRUCE CREEK ASSISTED LIVING ,LLC (NPI 1285165233) is a healthcare organization registered as an assisted living facility in Ormond Beach, Florida and active in the NPI registry since March 2017. The organization lists Charlene Greene, Administrator, as its authorized official.

NPPES Registry Identity

NPI1285165233

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSPRUCE CREEK ASSISTED LIVING ,LLC

Location Address762 COBBLESTONE WAYOrmond Beach, FL 32174-1026

Mailing Address5953 Broken Bow LnPort Orange, FL 32127-7581 · (386) 872-6155

Phone(407) 310-9405

Organization SubpartNo

Authorized OfficialCharlene GreeneAdministrator · (407) 310-9405

Enumeration DateMarch 22, 2017

✔ NPI 1285165233 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 · 12422

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.

762 COBBLESTONE WAY, Ormond Beach, FL 32174

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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 Spruce Creek Assisted Living ,llc's NPI number?

The NPI number for Spruce Creek Assisted Living ,llc is 1285165233. It was assigned to this organization in the NPPES registry on March 22, 2017.

Where is Spruce Creek Assisted Living ,llc located?

Spruce Creek Assisted Living ,llc is located at 762 Cobblestone Way, Ormond Beach, FL 32174. The listed phone number is (407) 310-9405.

What is Spruce Creek Assisted Living ,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 Spruce Creek Assisted Living ,llc was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.