VINTAGE CARE SENIOR LIVING
NPI 1558851048
Assisted Living Facility in Palatka, FL
About Vintage Care Senior Living NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VINTAGE CARE SENIOR LIVING (NPI 1558851048) is a healthcare organization registered as an assisted living facility in Palatka, Florida and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Seth Walker, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
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 10D2206613
Vintage Care Senior Living · Palatka, FLOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bright Star Senior Housing, LLC's NPI number?
The NPI number for Bright Star Senior Housing, LLC is 1558851048. It was assigned to this organization in the NPPES registry on May 10, 2018. The provider is doing business as Vintage Care Senior Living and Vintage Care Senior Housing.
Where is Bright Star Senior Housing, LLC located?
Bright Star Senior Housing, LLC is located at 203 S Moody Rd, Palatka, FL 32177. The listed phone number is (386) 329-9905.
What is Bright Star Senior Housing, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Bright Star Senior Housing, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2206613) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bright Star Senior Housing, LLC was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Vintage Care Senior Living · NPI 1558851048
Assisted Living Facility organization in Palatka, Florida. Organization record, active in the CMS NPPES registry since May 10, 2018.
## Identity
- **NPI:** 1558851048 (Entity type: Organization)
- **Enumerated:** May 10, 2018
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Bright Star Senior Housing, Llc
- **Also known as:** VINTAGE CARE SENIOR HOUSING (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Seth Walker, CFO
## Practice location
- **Address:** 203 S MOODY RD, Palatka, FL 32177-3903
- **Phone:** (386) 329-9905
## Record status
- **NPPES last updated:** September 9, 2020
- **Other identifiers:** Medicaid 024960400 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1558851048) · Data from the CMS NPPES public registry.