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CRESTVIEW MANOR
NPI 1407123458
Assisted Living Facility in Crestview, FL

Active since November 18, 2011
603 N PEARL ST, CRESTVIEW, FL 32536(850) 689-7850(850) 689-7974 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crestview Manor NPPES

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

CRESTVIEW MANOR (NPI 1407123458) is a healthcare organization registered as an assisted living facility in Crestview, Florida and active in the NPI registry since November 2011. The organization lists Kimberly Ann Fraley, Assistant Administrator, as its authorized official.

NPPES Registry Identity

NPI1407123458
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameALTERNATIVE LIVING INC.
Location Address603 N PEARL STCrestview, FL 32536-2749
Mailing Address207 Hospital Dr NeFort Walton Beach, FL 32548-5066 · (850) 833-9165 · Fax (850) 833-9165
Phone(850) 689-7850
Fax(850) 689-7974
Organization SubpartNo
Authorized OfficialKimberly Ann FraleyAssistant Administrator · (850) 833-9212
Enumeration DateNovember 18, 2011
✔ NPI 1407123458 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 · AL5649
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.
603 N PEARL ST, Crestview, FL 32536
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Other Names 1

Doing Business AsCrestview Manor

Other Identifiers 1

Medicaid676877600FL

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 Alternative Living Inc.'s NPI number?

The NPI number for Alternative Living Inc. is 1407123458. It was assigned to this organization in the NPPES registry on November 18, 2011. The provider is doing business as Crestview Manor.

Where is Alternative Living Inc. located?

Alternative Living Inc. is located at 603 N Pearl St, Crestview, FL 32536. The listed phone number is (850) 689-7850.

What is Alternative Living Inc.'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 Alternative Living Inc. was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.