PINE FOREST MANOR, LLC
NPI 1366782575
Custodial Care Facility - Adult Care Home in Starke, FL

Active since February 25, 2013
2876 SE 109TH ST, STARKE, FL 32091(352) 468-2435(352) 468-2435 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pine Forest Manor, Llc NPPES

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

PINE FOREST MANOR, LLC (NPI 1366782575) is a healthcare organization registered as an adult care home in Starke, Florida and active in the NPI registry since February 2013. The organization lists Naomi Janace Armistead, Owner, as its authorized official.

NPPES Registry Identity

NPI1366782575
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameNAOMI JANACE ARMISTEAD
Location Address2876 SE 109TH STStarke, FL 32091-7461
Mailing Address2876 Se 109th StStarke, FL 32091-7461 · (352) 468-2435 · Fax (352) 468-2435
Fax(352) 468-2435
Organization SubpartNo
Authorized OfficialNaomi Janace ArmisteadOwner · (352) 468-2435
Enumeration DateFebruary 25, 2013
NPI 1366782575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in FL · 6906444
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2876 SE 109TH ST, Starke, FL 32091

Other Names 1

Doing Business AsPine Forest Manor, Llc

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 Naomi Janace Armistead's NPI number?

The NPI number for Naomi Janace Armistead is 1366782575. It was assigned to this organization in the NPPES registry on February 25, 2013. The provider is doing business as Pine Forest Manor, LLC.

Where is Naomi Janace Armistead located?

Naomi Janace Armistead is located at 2876 SE 109th St, Starke, FL 32091. The listed phone number is (352) 468-2435.

What is Naomi Janace Armistead's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Naomi Janace Armistead was last updated on February 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.