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YOHANNES FISSIHA
NPI 1295346690
Assisted Living Facility in Port Orange, FL

Active since August 11, 2020
401 ORANGE AVE, PORT ORANGE, FL 32127(386) 767-6268 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Yohannes Fissiha NPPES

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

YOHANNES FISSIHA (NPI 1295346690) is an individual assisted living facility provider in Port Orange, Florida, licensed in Florida (AL6084) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1295346690
Entity TypeIndividualMale
Primary Taxonomy310400000X
Provider Legal NameYOHANNES FISSIHA
Location Address401 ORANGE AVEPort Orange, FL 32127-4444
Mailing Address401 Orange AvePort Orange, FL 32127-4444 · (386) 761-6268
Phone(386) 767-6268
Sole ProprietorYes
Enumeration DateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1295346690 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 · AL6084
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.

401 ORANGE AVE, Port Orange, FL 32127
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Other Providers at the Same Location NPPES 2

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

HEAVENLY ASSISTED LIVING, INC.
Assisted Living Facility
401 ORANGE AVE
PORT ORANGE, FL 32127
Volusia County (386) 761-6268
SARG PORT ORANGE ALF LLC
Assisted Living Facility
401 ORANGE AVE
PORT ORANGE, FL 32127
Volusia County (407) 797-4996

Frequently Asked Questions

What is Yohannes Fissiha's NPI number?

The NPI number assigned to this healthcare provider is 1295346690, enumerated as an "individual" on August 11, 2020.

Where is the provider located?

The provider is located at 401 ORANGE AVE PORT ORANGE, FL 32127 and the phone number is (386) 767-6268.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.