FAVOR MEMORYCARE ASSISTED LIVING FACILITY INC
NPI 1780194258
Assisted Living Facility in Longwood, FL

Active since October 10, 2017
385 E WILDMERE AVE, LONGWOOD, FL 32750(407) 951-6926 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Oct 10, 2017 (2 updates tracked since 2017).

About Favor Memorycare Assisted Living Facility Inc NPPES

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

FAVOR MEMORYCARE ASSISTED LIVING FACILITY INC (NPI 1780194258) is a healthcare organization registered as an assisted living facility in Longwood, Florida and active in the NPI registry since October 2017. The organization lists Peter Etoh, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1780194258
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFAVOR MEMORYCARE ASSISTED LIVING FACILITY INC
Location Address385 E WILDMERE AVELongwood, FL 32750-5537
Mailing Address385 E Wildmere AveLongwood, FL 32750-5537 · (407) 951-6926
Organization SubpartNo
Authorized OfficialPeter EtohOwner/administrator · (407) 415-5064
Enumeration DateOctober 10, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1780194258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Licenses Licensed in FL · 13066 Licensed · 13066
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.
385 E WILDMERE AVE, Longwood, FL 32750

Other Names 1

Other NameFavor Memorycare Assisted Living Facility Inc

Other Identifiers 1

Medicaid1720418635FL

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 Favor Memorycare Assisted Living Facility Inc's NPI number?

The NPI number for Favor Memorycare Assisted Living Facility Inc is 1780194258. It was assigned to this organization in the NPPES registry on October 10, 2017.

Where is Favor Memorycare Assisted Living Facility Inc located?

Favor Memorycare Assisted Living Facility Inc is located at 385 E Wildmere Ave, Longwood, FL 32750. The listed phone number is (407) 951-6926.

What is Favor Memorycare Assisted Living Facility Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Favor Memorycare Assisted Living Facility Inc was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.