ENON COUNTRY MANOR ALF LLC
NPI 1700194222
Assisted Living Facility in Walnut Hill, FL

Active since September 17, 2010
7701 ENON SCHOOL RD, WALNUT HILL, FL 32568(941) 809-6147 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About ENON COUNTRY MANOR ALF LLC

This page provides the complete NPI Profile along with additional information for Enon Country Manor Alf Llc, a provider established in Walnut Hill, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1700194222 assigned on September 2010. The practitioner's primary taxonomy code is 310400000X with license number AL5153 (FL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Lynn Anderson (Mm)

NPI
1700194222 Verify this NPI
Provider Name
ENON COUNTRY MANOR ALF LLC
Entity Type
Organization
Location Address
7701 ENON SCHOOL RD WALNUT HILL, FL 32568
Location Phone
(941) 809-6147
Mailing Address
PO BOX 110363 LAKEWOOD RCH, FL 34211
Mailing Phone
(941) 809-6147
Mailing Fax
(941) 567-4753
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2010
Last Update Date
09-17-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL5153
License State
FL
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LYNN ANDERSON

Authorized Official Title
MM
Authorized Official Phone
(941) 806-7007

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
140281100MEDICAID (05)FL 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
7701 ENON SCHOOL RD
WALNUT HILL, FL 32568

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700194222, enumerated as an "organization" on September 17, 2010.

The provider is located at 7701 ENON SCHOOL RD WALNUT HILL, FL 32568 and the phone number is (941) 809-6147.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.