Provider Profile
NSB ALF
Assisted Living Facility
FACILITY PROFILE
Street Address
- 5 FAIRGREEN AVE
NEW SMYRNA BEACH, FL 32168
County: Volusia - Phone: (386) 410-3201
Mailing Address
- 326 BLUFF LN
APOPKA, FL 32712-3430
County: Orange - Phone: (407) 970-5558
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Assisted Living in FloridaLong-Term Care
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | ||||||
| Administrator: | SABRINA AMAZAN | ||||||
| Financial Officer: | SABRINA AMAZAN | ||||||
| Owner/Licensee: | PRIME LOVE & CARE LLC | ||||||
| Owner/Licensee Since: | 8/9/2017 | ||||||
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| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | 6 | ||||||
| Bed Types: | Private: 6 Optional State Supplement: 0 Total Capacity: 6 Extended Congregate Care: 0 | ||||||
| AHCA Number (File Number): | 11968798 | ||||||
| AHCA Field Office: | 04 | ||||||
| License Number: | 12638 | ||||||
| Current License Effective: | 11/7/2021 | ||||||
| Current License Expires: | 11/6/2023 | ||||||
| License Status: | IN REVIEW | ||||||
Services/Characteristics
| Activities: | Arts and CraftsExercise ClassesGames/CardsGardeningMusic ProgramsShoppingSocial Events/OutingsTheater and Movies |
| Bed Hold Policy: | Facility will hold beds during a temporary absence |
| Adult Day Care Services: | Yes |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | English |
| Nurse Availability: | 3rd Party 24hr |
| Payment Forms Accepted: | VA |
| Community Residential Home | Yes |
Please be advised that local zoning authorities may have additional restrictions or requirements not under the jurisdiction of the Agency for Health Care Administration. Contact your local zoning authorities for any specific requirements. See also 419.001 F.S.
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Entire Facility |
| Plan Approval: | 12/29/2017 |
| Implementation Date: | 5/23/2018 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Entire Facility |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 2739 |
| Number of People to use Cooled Space: | 6 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 8/9/2017 | |||||
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.