Provider Demographics
NPI:1477069961
Name:CHRISTOPHER MANAGEMENT, INC.
Entity Type:Organization
Organization Name:CHRISTOPHER MANAGEMENT, INC.
Other - Org Name:TROPICAL LIVING CLUB 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-452-7644
Mailing Address - Street 1:320 FORTENBERRY RD
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-3621
Mailing Address - Country:US
Mailing Address - Phone:321-452-7644
Mailing Address - Fax:866-231-5772
Practice Address - Street 1:320 FORTENBERRY RD
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-3621
Practice Address - Country:US
Practice Address - Phone:321-452-7644
Practice Address - Fax:866-231-5772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11392310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006396000Medicaid