DELAND MANOR ASSISTED LIVING CORP
NPI 1790294742
Assisted Living Facility in Deland, FL

Q: What is Deland Manor Assisted Living Corp's NPI number?

The NPI number for Deland Manor Assisted Living Corp is 1790294742. It was assigned to this organization in the NPPES registry on September 21, 2017.

Q: What is Deland Manor Assisted Living Corp's specialty?

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

Active since September 21, 2017

245 S. AMELIA AVE, DELAND, FL 32724(386) 624-7777(386) 279-7341 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 21, 2017 (2 updates tracked since 2017).

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About Deland Manor Assisted Living Corp NPPES

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

DELAND MANOR ASSISTED LIVING CORP (NPI 1790294742) is a healthcare organization registered as an assisted living facility in Deland, Florida and active in the NPI registry since September 2017. The organization lists Dennis Fabian Javier, Administrator, as its authorized official.

NPPES Registry Identity

NPI1790294742

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameDELAND MANOR ASSISTED LIVING CORP

Location Address245 S. AMELIA AVEDeland, FL 32724

Mailing Address245 S Amelia AveDeland, FL 32724-5913 · (386) 624-7777 · Fax (386) 279-7341

Phone(386) 624-7777

Fax(386) 279-7341

Organization SubpartNo

Authorized OfficialDennis Fabian JavierAdministrator · (407) 453-6541

Enumeration DateSeptember 21, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1790294742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL12944

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.

245 S. AMELIA AVE, Deland, FL 32724

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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 Deland Manor Assisted Living Corp's NPI number?

The NPI number for Deland Manor Assisted Living Corp is 1790294742. It was assigned to this organization in the NPPES registry on September 21, 2017.

Where is Deland Manor Assisted Living Corp located?

Deland Manor Assisted Living Corp is located at 245 S. Amelia Ave, Deland, FL 32724. The listed phone number is (386) 624-7777.

What is Deland Manor Assisted Living Corp'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 Deland Manor Assisted Living Corp was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.