MANDEVILLE MANOR HEALTH SYSTEMS INC.
NPI 1427594944
Assisted Living Facility - Assisted Living, Mental Illness in Palm Coast, FL

Q: What is Mandeville Manor Health Systems Inc.'s NPI number?

The NPI number for Mandeville Manor Health Systems Inc. is 1427594944. It was assigned to this organization in the NPPES registry on January 7, 2017.

Q: What is Mandeville Manor Health Systems Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since January 07, 2017

40 PONCE DELEON DR, PALM COAST, FL 32164(386) 586-5654(386) 586-5440 Get Directions Write a Review

NPPES record last updated: January 7, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mandeville Manor Health Systems Inc. NPPES

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

MANDEVILLE MANOR HEALTH SYSTEMS INC. (NPI 1427594944) is a healthcare organization registered as an assisted living, mental illness in Palm Coast, Florida and active in the NPI registry since January 2017. The organization lists Margaret Mclarty, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1427594944

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameMANDEVILLE MANOR HEALTH SYSTEMS INC.

Location Address40 PONCE DELEON DRPalm Coast, FL 32164-4910

Mailing Address40 Ponce Deleon DrPalm Coast, FL 32164-4910 · (386) 586-5654 · Fax (386) 586-5440

Phone(386) 586-5654

Fax(386) 586-5440

Organization SubpartNo

Authorized OfficialMargaret MclartyChief Financial Officer · (386) 679-4867

Enumeration DateJanuary 7, 2017

✔ NPI 1427594944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in FL · 00000000

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

40 PONCE DELEON DR, Palm Coast, FL 32164

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Other Identifiers 1

Medicaid676845896FL

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 Mandeville Manor Health Systems Inc.'s NPI number?

The NPI number for Mandeville Manor Health Systems Inc. is 1427594944. It was assigned to this organization in the NPPES registry on January 7, 2017.

Where is Mandeville Manor Health Systems Inc. located?

Mandeville Manor Health Systems Inc. is located at 40 Ponce Deleon Dr, Palm Coast, FL 32164. The listed phone number is (386) 586-5654.

What is Mandeville Manor Health Systems Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Mandeville Manor Health Systems Inc. was last updated on January 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.