Provider Type Icon

CR 125 LLC NPI 1235630633


NPI Information

NPI: 1235630633
Provider Name: CR 125, LLC

Doing Business As: GENERATIONS SENIOR LIVING AT THE FAIRWAYS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5268 COUNTY ROAD 125
WILDWOOD, FL
ZIP 34785
Phone: (352) 474-2696
Get Directions

CR 125, LLC is an assisted living facility in Wildwood, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CR 125, LLC NPI is 1235630633. The provider is registered as an organization entity type.
The provider Is Doing Business As Generations Senior Living At The Fairways.

The provider's business location address is:

5268 COUNTY ROAD 125
WILDWOOD, FL
ZIP 34785-914
Phone: (352) 474-2696
Fax: (352) 464-6046

The provider's authorized official is Adam Anthony .
The authorized official title is Managing Partner and has the following contact phone number (352) 474-2696.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 3/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.