MEDICARE: MOTT FOSTER HOME (ALF)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3104A0625X	Assisted Living Facility (Mental Illness)	AL5053	FL

General Provider Information

NPI Number	:	1720409436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTT FOSTER HOME (ALF)

Provider Business Mailing Address
First Line	:	1746 S WASHINGTON AVE
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-7518
Country	:	US
Telephone Number	:	407-886-7005
Fax Number	:	407-886-7005

Provider Business Practice Location Address
First Line	:	1746 S WASHINGTON AVE
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-7518
Country	:	US
Telephone Number	:	407-886-7005
Fax Number	:	407-886-7005

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MARY ALICA MOTT
Credential	:
Telephone Number	:	407-886-7005

Provider Enumeration Date	:	12/23/2013
Last Update Date	:	12/23/2013

Similar Medicare Providers

1992646327 — PHOREVER COMPANIONSHIP LLC
Practice Location Address:

660 EXECUTIVE PARK CT STE 1500
APOPKA, FL
32703-6079

Practice Phone: 407-921-9752
Practice Fax:

1821867219 — LUCNISE METELLUS LMHC
Practice Location Address:

1457 WATERVIEW RIDGE CIR
APOPKA, FL
32703-6236

Practice Phone: 407-756-2238
Practice Fax:

1134060403 — GRACE & GROWTH CARE SERVICES
Practice Location Address:

1457 WATERVIEW RIDGE CIR
APOPKA, FL
32703-6236

Practice Phone: 321-301-3052
Practice Fax:

1538000617 — KHAMARI LANIER COATS
Practice Location Address:

1000 COLOR PL UNIT 101
APOPKA, FL
32703-7717

Practice Phone: 888-754-0398
Practice Fax:

1629272265 — PARK AVENUE OPHTHALMICS, PLLC
Practice Location Address:

2269 E SEMORAN BLVD
APOPKA, FL
32703-5713

Practice Phone: 407-886-2093
Practice Fax: 407-886-9531

1114865268 — SHANICE R PAIGE
Practice Location Address:

584 MARDEN MEADOWS DR
APOPKA, FL
32703-6977

Practice Phone: 813-440-0141
Practice Fax:

Directions to “MOTT FOSTER HOME (ALF) ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.