HOMESTEAD RETIREMENT HOME
NPI 1811162977
Assisted Living Facility - Assisted Living, Mental Illness in Saint Cloud, FL

Active since April 29, 2008
1117 MASSACHUSETTS AVE, SAINT CLOUD, FL 34769(407) 892-3831(407) 892-7120 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Homestead Retirement Home NPPES

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

HOMESTEAD RETIREMENT HOME (NPI 1811162977) is a healthcare organization registered as an assisted living, mental illness in Saint Cloud, Florida and active in the NPI registry since April 2008. The organization lists Paul Chrisler Ellingsworth, President, as its authorized official.

NPPES Registry Identity

NPI1811162977
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameGRELL ENTERPRISES, INC.
Location Address1117 MASSACHUSETTS AVESaint Cloud, FL 34769-3787
Mailing Address3249 Newgate CtDublin, OH 43017-2223 · (614) 718-0093 · Fax (614) 718-0086
Fax(407) 892-7120
Organization SubpartNo
Authorized OfficialPaul Chrisler EllingsworthPresident · (614) 718-0093
Enumeration DateApril 29, 2008
NPI 1811162977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in FL · AL245
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

1117 MASSACHUSETTS AVE, Saint Cloud, FL 34769

Other Names 1

Doing Business AsHomestead Retirement Home

Other Identifiers 1

Medicaid140932800FL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Mental Illness
1117 MASSACHUSETTS AVE
SAINT CLOUD, FL 34769
Assisted Living Facility (Assisted Living, Mental Illness)
1117 MASSACHUSETTS AVE
SAINT CLOUD, FL 34769

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811162977, enumerated as an "organization" on April 29, 2008.

The provider is located at 1117 MASSACHUSETTS AVE SAINT CLOUD, FL 34769 and the phone number is (407) 892-3831.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.

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