OrganizationActive
Florida Assistant Living Organization, LLC
NPI 1720498215 · Assisted Living Facility · Madison, FL
Provider details
- NPI number
- 1720498215
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Willie Peacock, Administrator(850) 973-2380
- License
- 11916 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
585 Se Lakeshore Dr
Madison, FL 32340-2734
Phone: (850) 973-2415
Street-level locationGet directions
Mailing address
219 Se Abernathy Way
Madison, FL 32340-7044
Registry dates
- Enumerated
- 2014-05-06
- Last updated
- 2014-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.