PLEASANT LIVING FACILITY, INC. (NPI# 1518197912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518197912 |
| Entity Type | Organization |
| Organization Name | PLEASANT LIVING FACILITY, INC. |
| Practice Address |
1543 Hill St Jacksonville FL 32202-1405 |
| Practice Telephone | 9043530501 |
| Practice Fax Number | 9043538621 |
| Mailing Telephone | 9043530501 |
| Mailing Fax Number | 9043538621 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |
| Authorized Official Name | GWENDOLYN WALTHOUR (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 9043530501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL9304 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 677384201 | 05 |
| Street Address |
1543 HILL ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32202-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| 1801376629 | Shelletta Baker | Home Delivered Meals | 303 N Laura St, Jacksonville, FL 32202 | 2018-08-21 |
| 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 |
| 1083803647 | Pleasant Living Facility Inc | Assisted Living Facility | 1543 Hill Street, Jax, FL 32202-1405 | 2007-10-19 |
| 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 |
| Find all providers in zip 32202 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404668 | Tambolina Services Community Resident Home, Inc | Assisted Living Facility | 6285 Cranberry Ln W, Jacksonville, FL 32244-2559 | 2020-10-15 |
| 1316552284 | Enhanced Universal Care Alf | Assisted Living Facility | 10967 Key Haven Blvd, Jacksonville, FL 32218-4463 | 2020-09-08 |
| 1710527270 | Rosecastle of Jacksonville LLC | Assisted Living Facility | 8929 R G Skinner Pkwy, Jacksonville, FL 32256-9724 | 2020-01-13 |
| 1891353777 | V & K Horizons | Assisted Living Facility | 7019 Mark St, Jacksonville, FL 32210-4889 | 2019-06-05 |
| 1144784638 | Carole Stallworth | Assisted Living Facility | 5116 Mcmanus Dr, Jacksonville, FL 32210-6353 | 2019-01-29 |
| 1467921569 | Heart To Heart LLC | Assisted Living Facility | 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 | 2018-11-19 |
| 1073090437 | Lashonda Oglesby | Assisted Living Facility | 6313 Arlington Rd, Jacksonville, FL 32211-5423 | 2018-07-27 |
| 1831697218 | Cortney Irene Matthews | Assisted Living Facility | 3109 Gilmore St, Jacksonville, FL 32205-5516 | 2018-01-31 |
| 1093222515 | Anthem Lakes | Assisted Living Facility | 905 Assisi Ln, Jacksonville, FL 32233-2972 | 2018-01-05 |
| 1831608975 | Silver Shores Living, Inc | Assisted Living Facility | 2317 Gilmore St, Jacksonville, FL 32204-3119 | 2017-09-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32202 |
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| 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.