ORANGE PARK ASSISTED LIVING FACILITY, INC. (NPI# 1538595657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538595657 |
| Entity Type | Organization |
| Organization Name | ORANGE PARK ASSISTED LIVING FACILITY, INC. |
| Practice Address |
2485 Ridgecrest Ave Orange Park FL 32065-6236 |
| Practice Telephone | 9042766644 |
| Practice Fax Number | 9042766644 |
| Mailing Telephone | 9042766644 |
| Mailing Fax Number | 9042766644 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |
| Authorized Official Name | MARIE JENKINS (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 9046731419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL12390 | FL | Nursing & Custodial Care Facilities |
| Street Address |
2485 RIDGECREST AVE |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32065-6236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356714414 | Acacia Grove Assisted Living Facility LLC | Assisted Living Facility | 2485 Ridgecrest Ave, Orange Park, FL 32065-6236 | 2015-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1093366205 | Milagros J Morales | Nurse Practitioner | 625 Oakleaf Plantation Parkway, Unit 815, Orange Park, FL 32065 | 2019-09-28 |
| 1396239570 | Rebekah Lynne Fronczak | Assistant Behavior Analyst | 575 Oakleaf Plantation Pkwy, 1210, Orange Park, FL 32065 | 2018-06-20 |
| 1124512942 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 | 2018-06-15 |
| 1447637772 | Petergay Angeleque Sterling | Counselor | 2114 Club Lake Drive, Orange Park, FL 32065 | 2015-05-06 |
| 1073942991 | Joy L. Dozier Smith | Social Worker | 1363 Akron Oaks Drive, Orange Park, FL 32065 | 2013-11-01 |
| 1942635800 | Demetta Vereen | Counselor | 573 Oakleaf Plantation Pkwy Unit 126, Orange Park, FL 32065 | 2013-09-11 |
| 1902248412 | Bashar Adeinat | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065 | 2013-07-25 |
| 1912253030 | Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 1075 Oakleaf Plantation Parkway, Suite 105, Orange Park, FL 32065 | 2012-07-26 |
| 1275894529 | Stacy Quinn | Family Medicine | 769 Blanding Blvd Ste 7, Orange Park, FL 32065 | 2012-06-04 |
| Find all providers in zip 32065 | ||||
| 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 |
|---|---|---|---|---|
| 1609420322 | Vision Manot, Inc | Assisted Living Facility | 319 Eldridge Ave, Orange Park, FL 32073-2956 | 2019-07-31 |
| 1588014047 | Homecare Assisted Living | Assisted Living Facility | 1906 Belhaven Dr, Orange Park, FL 32065-7663 | 2016-06-15 |
| 1164807004 | Elite Care Plus,llc | Assisted Living Facility | 319 Eldridge Avenue, Orange Park, FL 32073 | 2015-07-21 |
| 1285068908 | Samson Villa of Orange Park | Assisted Living Facility | 2757 Pebbleridge Ct, Orange Park, FL 32065-6261 | 2013-08-29 |
| 1528403326 | Marced, Inc | Assisted Living Facility | 1645 Bartlett Ave, Orange Park, FL 32073-3616 | 2013-05-07 |
| 1285077248 | Spring Gardens of Orange Park | Assisted Living Facility | 2550 Sandlewood Cir, Orange Park, FL 32065-8928 | 2013-04-09 |
| 1821060765 | Quality Care of Fl.inc | Assisted Living Facility | 1261 Tumbleweed Dr, 228 Old Jennings Road, Orange Park, FL 32065-7459 | 2006-02-05 |
| 1942857289 | Wright Manor | Assisted Living Facility | 2550 Sandlewood Cir, Orange Park, FL 32065-8928 | 2019-08-21 |
| 1356714414 | Acacia Grove Assisted Living Facility LLC | Assisted Living Facility | 2485 Ridgecrest Ave, Orange Park, FL 32065-6236 | 2015-11-10 |
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| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32065 |
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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.