1031CF LONGWOOD OPCO LLC
NPI 1811736838
Assisted Living Facility in Longwood, FL

Active since May 20, 2024CLIA 10D2312705 · Waiver
342 S WAYMAN ST, LONGWOOD, FL 32750(844) 533-1031 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 1031cf Longwood Opco Llc NPPES

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

1031CF LONGWOOD OPCO LLC (NPI 1811736838), doing business as Wayman Place Senior Living, is a healthcare organization registered as an assisted living facility in Longwood, Florida and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through October 16, 2026 and lists Edward Fernandez, Manager, as its authorized official.

NPPES Registry Identity

NPI1811736838
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name1031CF LONGWOOD OPCO LLC
Location Address342 S WAYMAN STLongwood, FL 32750-5305
Mailing Address2603 Main St Ste 1050Irvine, CA 92614-4282 · (844) 533-1031
Organization SubpartNo
Authorized OfficialEdward FernandezManager · (844) 533-1031
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1811736838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
342 S WAYMAN ST, Longwood, FL 32750

Other Names 1

Doing Business AsWayman Place Senior Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2312705

1031cf Longwood Opco LLC · Longwood, FL
Active · expires Oct 16, 2026
CLIA Number10D2312705
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorEmmanuella V. Eustache
Laboratory Phone(407) 265-9100
Laboratory Location1031cf Longwood Opco LLC342 S Wayman St, Longwood, FL 32750
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1031cf Longwood Opco LLC's NPI number?

The NPI number for 1031cf Longwood Opco LLC is 1811736838. It was assigned to this organization in the NPPES registry on May 20, 2024. The provider is doing business as Wayman Place Senior Living.

Where is 1031cf Longwood Opco LLC located?

1031cf Longwood Opco LLC is located at 342 S Wayman St, Longwood, FL 32750. The listed phone number is (844) 533-1031.

What is 1031cf Longwood Opco LLC's specialty?

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

Does 1031cf Longwood Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2312705) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 1031cf Longwood Opco LLC was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.