OrganizationActive
At Home Care Assisted Living Facility, Inc.
NPI 1669759015 · Assisted Living Facility · Eustis, FL
Provider details
- NPI number
- 1669759015
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Keisha Gist, Administrator(407) 948-0723
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Alzheimer Center (Dementia Center)311500000X
Nursing & Custodial Care Facilities
Practice location
42042 Chinaberry St
Eustis, FL 32736-8358
Phone: (407) 948-0723
Fax: (321) 256-5193
Approximate (ZIP-level) locationGet directions
Mailing address
42042 Chinaberry St
Eustis, FL 32736-8358
Registry dates
- Enumerated
- 2011-11-14
- Last updated
- 2011-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.