FOREST LAKE MANOR
NPI 1316281215
Assisted Living Facility in Daytona Beach, FL

Active since November 15, 2012
252 FOREST LAKE BLVD, DAYTONA BEACH, FL 32119(386) 760-7174(386) 760-7812 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Forest Lake Manor NPPES

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

FOREST LAKE MANOR (NPI 1316281215) is a healthcare organization registered as an assisted living facility in Daytona Beach, Florida and active in the NPI registry since November 2012. The organization lists Alan Daniel Parrish, Manager, as its authorized official.

NPPES Registry Identity

NPI1316281215
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSELAH - FOREST LAKE MANOR, LLC
Location Address252 FOREST LAKE BLVDDaytona Beach, FL 32119-8106
Mailing Address252 Forest Lake BlvdDaytona Beach, FL 32119-8106 · (386) 760-7174 · Fax (386) 760-7812
Fax(386) 760-7812
Organization SubpartYesParent: Selah Seniorcare Ii
Authorized OfficialAlan Daniel ParrishManager · (904) 543-1818
Enumeration DateNovember 15, 2012
NPI 1316281215 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 · AL8869
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.
252 FOREST LAKE BLVD, Daytona Beach, FL 32119

Other Names 1

Doing Business AsForest Lake Manor

Other Identifiers 1

Medicaid003453400FL

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.

Assisted Living Facility
252 FOREST LAKE BLVD
DAYTONA BEACH, FL 32119
Assisted Living Facility
252 FOREST LAKE BLVD
DAYTONA BEACH, FL 32119

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 Selah - Forest Lake Manor, LLC's NPI number?

The NPI number for Selah - Forest Lake Manor, LLC is 1316281215. It was assigned to this organization in the NPPES registry on November 15, 2012. The provider is doing business as Forest Lake Manor.

Where is Selah - Forest Lake Manor, LLC located?

Selah - Forest Lake Manor, LLC is located at 252 Forest Lake Blvd, Daytona Beach, FL 32119. The listed phone number is (386) 760-7174.

What is Selah - Forest Lake Manor, 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 Selah - Forest Lake Manor, LLC was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.