Good Sam'S Assisted Living Residence, LLC
NPI 1538604764 · Assisted Living Facility · Palm Coast, FL
Good Sam'S Assisted Living Residence, LLC is a Assisted Living Facility organization in Palm Coast, FL (NPI 1538604764).
Provider details
- NPI number
- 1538604764
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- L. Judith Fermin-Ostrin, Administrator(516) 524-6624
- License
- 10049 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-12-26
- Last updated
- 2016-12-26
Frequently asked questions
- What is Good Sam'S Assisted Living Residence, LLC's NPI number?
- Good Sam'S Assisted Living Residence, LLC's National Provider Identifier (NPI) is 1538604764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Good Sam'S Assisted Living Residence, LLC?
- Good Sam'S Assisted Living Residence, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Good Sam'S Assisted Living Residence, LLC located?
- Good Sam'S Assisted Living Residence, LLC's practice location on file with NPPES is 1 Pebble Wood Ln, Palm Coast, FL 32164-7491.
- What is Good Sam'S Assisted Living Residence, LLC's phone number?
- The practice phone number listed in the NPPES registry for Good Sam'S Assisted Living Residence, LLC is (386) 447-8145.
- Who is the authorized official for Good Sam'S Assisted Living Residence, LLC?
- The authorized official listed on Good Sam'S Assisted Living Residence, LLC's NPPES record is L. Judith Fermin-Ostrin, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Good Sam'S Assisted Living Residence, LLC's NPI active?
- Yes — Good Sam'S Assisted Living Residence, LLC's NPI (1538604764) is active in the NPPES registry as of the last update on 2016-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.