Provider Demographics
NPI:1427921741
Name:ANAVISTA II ASSISTED LIVING FACILITY INC.
Entity type:Organization
Organization Name:ANAVISTA II ASSISTED LIVING FACILITY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:NICHOLAS-CHANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-527-6696
Mailing Address - Street 1:5421 TEALWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-1736
Mailing Address - Country:US
Mailing Address - Phone:321-527-6696
Mailing Address - Fax:407-386-7501
Practice Address - Street 1:5421 TEALWOOD DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-1736
Practice Address - Country:US
Practice Address - Phone:321-527-6696
Practice Address - Fax:407-386-7501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness