Provider Demographics
NPI:1457778540
Name:NOMELS ASSISTED LIVINGS FACILITIES
Entity Type:Organization
Organization Name:NOMELS ASSISTED LIVINGS FACILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IONA
Authorized Official - Middle Name:
Authorized Official - Last Name:MINTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-458-0840
Mailing Address - Street 1:332 BISCAYNE LN
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-5551
Mailing Address - Country:US
Mailing Address - Phone:772-918-4277
Mailing Address - Fax:772-918-4273
Practice Address - Street 1:332 BISCAYNE LN
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-5551
Practice Address - Country:US
Practice Address - Phone:772-918-4277
Practice Address - Fax:772-918-4273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11305310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility