INDIGO PALMS AT MAITLAND
NPI 1841474194
Assisted Living Facility in Maitland, FL

Active since December 21, 2007
740 N WYMORE RD, MAITLAND, FL 32751(407) 628-0123 Get Directions Write a Review

NPPES record last updated: December 21, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Indigo Palms At Maitland NPPES

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

INDIGO PALMS AT MAITLAND (NPI 1841474194) is a healthcare organization registered as an assisted living facility in Maitland, Florida and active in the NPI registry since December 2007. The organization lists Randolph L Kernon, Vice President, as its authorized official.

NPPES Registry Identity

NPI1841474194
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameINDIGO PALMS AT MAITLAND, LLC
Location Address740 N WYMORE RDMaitland, FL 32751-4237
Mailing Address595 N Williamson BlvdDaytona Beach, FL 32114-7185 · (386) 257-4400 · Fax (386) 257-4372
Organization SubpartNo
Authorized OfficialRandolph L KernonVice President · (386) 257-4400
Enumeration DateDecember 21, 2007
NPI 1841474194 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.
740 N WYMORE RD, Maitland, FL 32751

Other Names 1

Doing Business AsIndigo Palms At Maitland

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.

Assisted Living Facility
740 N WYMORE RD
MAITLAND, FL 32751
Assisted Living Facility
740 N WYMORE RD
MAITLAND, FL 32751

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 Indigo Palms At Maitland, LLC's NPI number?

The NPI number for Indigo Palms At Maitland, LLC is 1841474194. It was assigned to this organization in the NPPES registry on December 21, 2007. The provider is doing business as Indigo Palms At Maitland.

Where is Indigo Palms At Maitland, LLC located?

Indigo Palms At Maitland, LLC is located at 740 N Wymore Rd, Maitland, FL 32751. The listed phone number is (407) 628-0123.

What is Indigo Palms At Maitland, LLC'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 Indigo Palms At Maitland, LLC was last updated on December 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.