COLLEEN ADULT FAMILY CARE HOME
NPI 1538608930
Custodial Care Facility - Adult Care Home in Winter Haven, FL

Active since February 17, 2017
5615 ROYAL HILLS ST, WINTER HAVEN, FL 33881(863) 307-1298 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2019, Feb 28, 2019, Feb 17, 2017 (3 updates tracked since 2017).

About Colleen Adult Family Care Home NPPES

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

COLLEEN ADULT FAMILY CARE HOME (NPI 1538608930) is a healthcare organization registered as an adult care home in Winter Haven, Florida and active in the NPI registry since February 2017. The organization lists Colleen Marshall, Owner, as its authorized official.

NPPES Registry Identity

NPI1538608930
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCOLLEEN ADULT FAMILY CARE HOME
Location Address5615 ROYAL HILLS STWinter Haven, FL 33881-7703
Mailing Address5615 Royal Hills StWinter Haven, FL 33881-7703 · (863) 307-1298
Organization SubpartNo
Authorized OfficialColleen MarshallOwner · (863) 307-1298
Enumeration DateFebruary 17, 2017
Last NPPES UpdateMarch 6, 20193 updates tracked since enumeration
NPI 1538608930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedHome HealthTaxonomy 251E00000X · License 6906156 (FL)
5615 ROYAL HILLS ST, Winter Haven, FL 33881

Other Identifiers 1

Medicaid143074200FL

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 Colleen Adult Family Care Home's NPI number?

The NPI number for Colleen Adult Family Care Home is 1538608930. It was assigned to this organization in the NPPES registry on February 17, 2017.

Where is Colleen Adult Family Care Home located?

Colleen Adult Family Care Home is located at 5615 Royal Hills St, Winter Haven, FL 33881. The listed phone number is (863) 307-1298.

What is Colleen Adult Family Care Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Colleen Adult Family Care Home was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.