ADULT FAMILY CARE HOME
NPI 1669871083
Custodial Care Facility - Adult Care Home in Lake Wales, FL

Active since August 21, 2014
309 N WETMORE ST, LAKE WALES, FL 33853(863) 223-8104 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adult Family Care Home NPPES

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

ADULT FAMILY CARE HOME (NPI 1669871083) is a healthcare organization registered as an adult care home in Lake Wales, Florida and active in the NPI registry since August 2014. The organization lists Rhonda Richardson, Owner/adm, as its authorized official.

NPPES Registry Identity

NPI1669871083
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameADULT FAMILY CARE HOME
Location Address309 N WETMORE STLake Wales, FL 33853-4057
Mailing Address309 N Wetmore StLake Wales, FL 33853-4057 · (863) 223-8104
Organization SubpartNo
Authorized OfficialRhonda RichardsonOwner/adm · (863) 223-8104
Enumeration DateAugust 21, 2014
Last NPPES UpdateAugust 27, 2014
NPI 1669871083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in FL · 6906614
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.
309 N WETMORE ST, Lake Wales, FL 33853

Other Identifiers 1

Medicaid008834600FL

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 Adult Family Care Home's NPI number?

The NPI number for Adult Family Care Home is 1669871083. It was assigned to this organization in the NPPES registry on August 21, 2014.

Where is Adult Family Care Home located?

Adult Family Care Home is located at 309 N Wetmore St, Lake Wales, FL 33853. The listed phone number is (863) 223-8104.

What is 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 Adult Family Care Home was last updated on August 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.