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SPRUCE CREEK ASSISTED LIVING FACILITY , INC.
NPI 1760894810
Assisted Living Facility in New Smyrna Beach, FL

Active since May 23, 2014
260 SPRING FOREST DR, NEW SMYRNA BEACH, FL 32168(386) 527-3781 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Assisted Living Facility

About SPRUCE CREEK ASSISTED LIVING FACILITY , INC.

This page provides the complete NPI Profile along with additional information for Spruce Creek Assisted Living Facility , Inc., a provider established in New Smyrna Beach, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1760894810 assigned on May 2014. The practitioner's primary taxonomy code is 310400000X with license number 12422 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Tamela Sue Owens (Administrator)

NPI
1760894810 Verify this NPI
Provider Name
SPRUCE CREEK ASSISTED LIVING FACILITY , INC.
Entity Type
Organization
Location Address
260 SPRING FOREST DR NEW SMYRNA BEACH, FL 32168
Location Phone
(386) 527-3781
Mailing Address
260 SPRING FOREST DR NEW SMYRNA BEACH, FL 32168
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2014
Last Update Date
05-23-2014
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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.
12422
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.

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

DR. TAMELA SUE OWENS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(386) 527-3781

Reviews for SPRUCE CREEK ASSISTED LIVING FACILITY , INC.

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Frequently Asked Questions

What is SPRUCE CREEK ASSISTED LIVING FACILITY , INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1760894810, enumerated as an "organization" on May 23, 2014.

Where is the provider located?

The provider is located at 260 SPRING FOREST DR NEW SMYRNA BEACH, FL 32168 and the phone number is (386) 527-3781.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.