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Christallis Manor III

NPI 1386258218ActiveOrganization· Assisted Living Facility· Pompano Beach, FL

Assisted Living Facility in Pompano Beach, Florida, registered in NPPES in September 2020. The authorized official on file is Amparo Dierking, Owner.

Overview

NPI1386258218
StatusActive
Entity typeOrganization
NPI issuedSep 8, 2020
Last updated in NPPESSep 8, 2020
Certified by providerSep 3, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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