Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Good Sam'S Assisted Living Residence, LLC

Assisted Living Facility in Palm Coast, FL · enumerated 2016 · authorized official L. Judith Fermin-Ostrin, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538604764

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Good Sam'S Assisted Living Residence, LLC

Practice address 1 Pebble Wood Ln, Palm Coast, FL, 32164

Phone (386) 447-8145

Enumeration date Dec 26, 2016

Last updated in NPPES Dec 26, 2016

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 10049 (FL) Primary

Authorized official

Name L. Judith Fermin-Ostrin

Title Administrator

Phone (516) 524-6624

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Good Sam'S Assisted Living Residence, LLC located?

The practice location on file with NPPES is in Palm Coast, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-12-26. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-26.