KINGS CROWN-SHELL POINT VILLAGE
NPI 1386073088
Assisted Living Facility in Fort Myers, FL

Q: What is The Christian & Missionary Alliance Foundation Inc's specialty?

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

Active since November 04, 2013CLIA 10D2233765 · Waiver

3600 KINGS CROWN CT, FORT MYERS, FL 33908(239) 454-2179(239) 454-2221 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2020, Mar 12, 2018 (2 updates tracked since 2018).

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About Kings Crown-shell Point Village NPPES

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

KINGS CROWN-SHELL POINT VILLAGE (NPI 1386073088) is a healthcare organization registered as an assisted living facility in Fort Myers, Florida and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Rita Marie Southern, Director Of Assisted Living, as its authorized official.

NPPES Registry Identity

NPI1386073088

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameTHE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC

Location Address3600 KINGS CROWN CTFort Myers, FL 33908-1648

Mailing Address15000 Shell Point BlvdFort Myers, FL 33908-1657 · (239) 454-2175 · Fax (239) 454-2221

Phone(239) 454-2179

Fax(239) 454-2221

Organization SubpartNo

Authorized OfficialRita Marie SouthernDirector Of Assisted Living · (239) 454-2179

Enumeration DateNovember 4, 2013

Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration

✔ NPI 1386073088 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 · AL6012

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.

3600 KINGS CROWN CT, Fort Myers, FL 33908

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Other Names 1

Doing Business AsKings Crown-shell Point Village

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2233765

Kings Crown- Shell Point Village · Fort Myers, FL

Active · expires Aug 24, 2027

CLIA Number10D2233765

Laboratory TypeAssisted Living Facility

Certificate Effective DateAugust 25, 2025

Certificate Expiration DateAugust 24, 2027

Laboratory DirectorLela Maldonado

Laboratory Phone(239) 454-2179

Laboratory LocationKings Crown- Shell Point Village3699 Kings Crown Ct, Fort Myers, FL 33908

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 The Christian & Missionary Alliance Foundation Inc's NPI number?

The NPI number for The Christian & Missionary Alliance Foundation Inc is 1386073088. It was assigned to this organization in the NPPES registry on November 4, 2013. The provider is doing business as Kings Crown-Shell Point Village.

Where is The Christian & Missionary Alliance Foundation Inc located?

The Christian & Missionary Alliance Foundation Inc is located at 3600 Kings Crown Ct, Fort Myers, FL 33908. The listed phone number is (239) 454-2179.

What is The Christian & Missionary Alliance Foundation Inc's specialty?

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

Does The Christian & Missionary Alliance Foundation Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2233765) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Christian & Missionary Alliance Foundation Inc was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.