Healthcare Provider Details

I. General information

NPI: 1427961598
Provider Name (Legal Business Name): ARDEN COURTS 6125 RATTLESNAKE HAMMOCK ROAD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6125 RATTLESNAKE HAMMOCK RD
NAPLES FL
34113-2912
US

IV. Provider business mailing address

6125 RATTLESNAKE HAMMOCK RD
NAPLES FL
34113-2912
US

V. Phone/Fax

Practice location:
  • Phone: 239-417-8511
  • Fax: 239-417-8512
Mailing address:
  • Phone: 239-417-8511
  • Fax: 239-417-8512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRISTEN MANGHAM
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 239-417-8511