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MRS. RUBY LEE VARNUM
NPI 1538400072
Assisted Living Facility in Bristol, FL

Active since March 08, 2013
12167 NW FREEMAN RD, BRISTOL, FL 32321(850) 643-5155(850) 643-3721 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Ruby Lee Varnum NPPES

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

MRS. RUBY LEE VARNUM (NPI 1538400072) is an individual assisted living facility provider in Bristol, Florida, licensed in Florida (AL6026) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1538400072
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameMRS. RUBY LEE VARNUM
Location Address12167 NW FREEMAN RDBristol, FL 32321
Mailing Address12167 Nw Freeman Road, Varnum's Rest HomeBristol, FL 32321 · (850) 643-5155 · Fax (850) 643-3721
Phone(850) 643-5155
Fax(850) 643-3721
Sole ProprietorYes
Enumeration DateMarch 8, 2013
✔ NPI 1538400072 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 · AL6026
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.
12167 NW FREEMAN RD, Bristol, FL 32321
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Other Identifiers 2

Medicaid679025900FL
Medicaid140029100FL

Other Providers at the Same Location NPPES 2

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

VARNUM'S REST HOME, LLC
Assisted Living Facility
12167 NW FREEMAN RD
BRISTOL, FL 32321
Liberty County (850) 643-5155
LIBERTY OAKS ALF LLC
Assisted Living Facility
12167 NW FREEMAN RD
BRISTOL, FL 32321
Liberty County (850) 643-5155

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 Ruby Varnum's NPI number?

The NPI number for Ruby Varnum is 1538400072. It was assigned to this individual provider in the NPPES registry on March 8, 2013.

Where is Ruby Varnum located?

Ruby Varnum practices at 12167 NW Freeman Rd, Bristol, FL 32321. The listed phone number is (850) 643-5155.

What is Ruby Varnum'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 Ruby Varnum was last updated on March 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.