PLEASANT LIVING FACILITY INC


Address: 1543 Hill Street, Jax, FL 32202-1405
Phone: 9043530501

PLEASANT LIVING FACILITY INC (NPI# 1083803647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083803647
Entity Type Organization
Organization Name PLEASANT LIVING FACILITY INC
Practice Address 1543 Hill Street
Jax
FL 32202-1405
Practice Telephone 9043530501
Practice Fax Number 9043538621
Mailing Telephone 9043530501
Mailing Fax Number 9043538621
Enumeration Date 2007-10-19
Last Update Date 2007-10-19
Authorized Official Name GWENDOLYN L WALTHOUR (OWNER OPERATOR)
Authorized Official Telephone 9043530501
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility AL9304 FL Nursing & Custodial Care Facilities

Office Location

Street Address 1543 HILL STREET
City JAX
State FL
Zip Code 32202-1405

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1083132591 Shelia Yvonne Newby Home Health Aide 220 Riverside Ave, Unit 404, Jacksonville, FL 32202 2017-09-05
1164728010 Dina Maria Fedor Nurse Practitioner 500 E Adams St, Jacksonville, FL 32202 2011-02-09
1689695611 Maryam M Pasha Emergency Medicine 221 N. Hogan St, 401, Jacksonville, FL 32202 2006-07-23
1629174917 Jose A Santana Internal Medicine 3625 University Blvd S, Emergency Department, Jacksonville, FL 32202 2006-09-15
1518197912 Pleasant Living Facility, Inc. Assisted Living Facility 1543 Hill St, Jacksonville, FL 32202-1405 2009-07-20
1982003745 Sheila Freeman Social Worker 300 E State St, Jacksonville, FL 32202-1601 2014-08-18
1861999625 Bianca Holcombe Counselor 1010 E Adams St Ste 1111013, Jacksonville, FL 32202-1902 2018-04-09
1760904064 Kenya Malyka Davis Counselor 1010 E Adams St Ste 111, Jacksonville, FL 32202-1902 2017-07-10
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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1982205787 Pd & Sr, L.L.C. Assisted Living Facility 730 Frisco St Se, Palm Bay, FL 32909-3711 2020-11-06
1982205019 Cantillo Love & Care LLC Assisted Living Facility 1045 W 23rd St, Hialeah, FL 33010-1922 2020-11-04
1194326728 Bliss Life Residential Care Assisted Living Facility 402 Arthur Ave, Lehigh Acres, FL 33936-7412 2020-11-02
1811597404 Huguette Mortimer Dupont Assisted Living Facility 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 2020-11-01
1750981841 Senior Living Properties IIi, LLC Assisted Living Facility 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 2020-10-28
1417556028 5081 Cambridge LLC Assisted Living Facility 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 2020-10-23
1134728926 Pacifica Lauderhill LLC Assisted Living Facility 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 2020-10-22
1760081749 Hsre-ahr Zephyrhills LLC Assisted Living Facility 38130 Pretty Pond Road, Zephyrhills, FL 33540 2020-10-21
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Competitor

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City JAX
Zip Code 32202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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