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CRESCENT LAKE HOUSE
NPI 1548718406
Assisted Living Facility in Crescent City, FL

Active since September 20, 2016CLIA 10D1066582 · Waiver
2301 S US HIGHWAY 17, CRESCENT CITY, FL 32112(386) 698-1444(386) 698-2537 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2019, Sep 20, 2016 (2 updates tracked since 2016).

About Crescent Lake House NPPES

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

CRESCENT LAKE HOUSE (NPI 1548718406) is a healthcare organization registered as an assisted living facility in Crescent City, Florida and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Abdul Eldick, President, as its authorized official.

NPPES Registry Identity

NPI1548718406
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNEW HORIZON FACILITY INC.
Location Address2301 S US HIGHWAY 17Crescent City, FL 32112-3933
Mailing Address2301 S Us Highway 17Crescent City, FL 32112-3933 · (386) 698-1444 · Fax (386) 698-2537
Phone(386) 698-1444
Fax(386) 698-2537
Organization SubpartNo
Authorized OfficialAbdul EldickPresident · (386) 698-1444
Enumeration DateSeptember 20, 2016
Last NPPES UpdateAugust 7, 20192 updates tracked since enumeration
✔ NPI 1548718406 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 · AL9265
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.
2301 S US HIGHWAY 17, Crescent City, FL 32112
Open in Google Maps ↗

Other Names 1

Doing Business AsCrescent Lake House

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 10D1066582

New Horizon Facility Inc Dba Crescent Lakes House · Crescent City, FL
Active · expires Mar 27, 2027
CLIA Number10D1066582
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorAdam Eldick
Laboratory Phone(386) 698-1444
Laboratory LocationNew Horizon Facility Inc Dba Crescent Lakes House2301 S Us Hwy 17, Crescent City, FL 32112
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.

CRESCENT CARE CORPORATION DBA APPLE HOUSE 11
Assisted Living Facility
2301 S US HIGHWAY 17
CRESCENT CITY, FL 32112
Putnam County (386) 698-1444

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 New Horizon Facility Inc.'s NPI number?

The NPI number for New Horizon Facility Inc. is 1548718406. It was assigned to this organization in the NPPES registry on September 20, 2016. The provider is doing business as Crescent Lake House.

Where is New Horizon Facility Inc. located?

New Horizon Facility Inc. is located at 2301 S Us Highway 17, Crescent City, FL 32112. The listed phone number is (386) 698-1444.

What is New Horizon Facility Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does New Horizon Facility Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1066582) is associated with this NPI, valid through March 27, 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 New Horizon Facility Inc. was last updated on August 7, 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.