Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Good Sam's Assisted Living Residence, LLC

Organization Assisted Living Facility · NPI 1538604764

Good Sam's Assisted Living Residence, LLC is an Assisted Living Facility in Palm Coast, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Pebble Wood Ln
Palm Coast, FL 32164-7491
Phone: (386) 447-8145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 10049 (FL)

Record details

NPI number1538604764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official L. Judith Fermin-Ostrin — Administrator · (516) 524-6624
NPI enumeratedDecember 26, 2016
Last updated in NPPESDecember 26, 2016
Mailing address1 Pebble Wood Ln, Palm Coast, FL 32164-7491

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