1031cf Palm Coast Mt LLC
NPI 1033897889ActiveOrganization· Assisted Living Facility· Palm Coast, FL
Assisted Living Facility in Palm Coast, Florida, registered in NPPES in July 2023. The authorized official on file is Edward Fernandez, Manager.
Overview
| NPI | 1033897889 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2023 |
| Last updated in NPPES | Jul 10, 2023 |
| Certified by provider | Jul 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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