WILLOW BROOKE COURT AT AZALEA TRACE
NPI 1396772109
Skilled Nursing Facility in Pensacola, FL

Active since June 27, 2006CLIA 10D0878407 · Waiver
10100 HILLVIEW DRIVE, PENSACOLA, FL 32514(850) 478-5200(850) 474-0558 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Willow Brooke Court At Azalea Trace NPPES

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

WILLOW BROOKE COURT AT AZALEA TRACE (NPI 1396772109) is a healthcare organization registered as a skilled nursing facility in Pensacola, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Susan Ahern, Svp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1396772109
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameACTS RETIREMENT-LIFE COMMUNITIES INC.
Location Address10100 HILLVIEW DRIVEPensacola, FL 32514-5799
Mailing Address420 Delaware DrFort Washington, PA 19034-2711 · (215) 661-8330 · Fax (215) 661-8316
Fax(850) 474-0558
Organization SubpartNo
Authorized OfficialSusan AhernSvp, Cfo · (215) 661-8330
Enumeration DateJune 27, 2006
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
NPI 1396772109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in FL · 1029096
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 1029096 (FL)
10100 HILLVIEW DRIVE, Pensacola, FL 32514

Other Names 1

Doing Business AsWillow Brooke Court At Azalea Trace

Other Identifiers 4

OtherN51Blue Cross
Other591932549Tri Care
Medicaid009615000FL
Other591932549Humana

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 10D0878407

Willow Brooke Court At Azalea Trace · Pensacola, FL
Active · expires Oct 25, 2027
CLIA Number10D0878407
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorJessica B. Camposagrado
Laboratory Phone(850) 478-5200
Laboratory LocationWillow Brooke Court At Azalea Trace10100 Hillview Drive, Pensacola, FL 32514
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
10100 HILLVIEW DRIVE
PENSACOLA, FL 32514

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 Acts Retirement-Life Communities Inc.'s NPI number?

The NPI number for Acts Retirement-Life Communities Inc. is 1396772109. It was assigned to this organization in the NPPES registry on June 27, 2006. The provider is doing business as Willow Brooke Court At Azalea Trace.

Where is Acts Retirement-Life Communities Inc. located?

Acts Retirement-Life Communities Inc. is located at 10100 Hillview Drive, Pensacola, FL 32514. The listed phone number is (850) 478-5200.

What is Acts Retirement-Life Communities Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Acts Retirement-Life Communities Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0878407) is associated with this NPI, valid through October 25, 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 Acts Retirement-Life Communities Inc. was last updated on February 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.