LOVING CARE LIVING FACILITY INCORPORATED (NPI# 1750398541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750398541 |
| Entity Type | Organization |
| Organization Name | LOVING CARE LIVING FACILITY INCORPORATED |
| Other Organization Name | LOVING CARE LIVING FACILITY |
| Practice Address |
76 Bruen St St Augustine FL 32084-3406 |
| Mailing Address |
Po Box 588 St Augustine FL 32085-0588 |
| Practice Telephone | 9048246616 |
| Practice Fax Number | 9047977440 |
| Mailing Telephone | 9048246616 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS J JACKSON II (BUSINESS MGR/OWNER) |
| Authorized Official Telephone | 9048246616 |
| Authorized Official Credential | M.P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL8149 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Loving Care Living Facility | Former Legal Business Name - Organization |
| Street Address |
76 BRUEN ST |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32084-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| 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 |
|---|---|---|---|---|
| 1467881292 | St Johns Welfare Federation | Assisted Living Facility | 161b Marine St, St Augustine, FL 32084-5104 | 2013-11-02 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| 1023145380 | Scg Coral Landing, LLC | Assisted Living Facility | 2820 Old Moultrie Rd, St Augustine, FL 32086-5454 | 2007-02-27 |
| 1598810616 | St Johns County Welfare Federation | Assisted Living Facility | 169 M L King Ave, St Augustine, FL 32084-5139 | 2007-01-25 |
| 1588054183 | Bvm Coral Landing LLC | Assisted Living Facility | 2820 Old Moultrie Rd, St Augustine, FL 32086-5454 | 2015-02-03 |
| 1902132749 | Summerville At St. Augustine, LLC | Assisted Living Facility | 150 Mariner Health Way, St Augustine, FL 32086-3215 | 2009-10-29 |
| 1821283672 | Scg Coral Landing, LLC | Assisted Living Facility | 2820 Old Moultrie Rd, St Augustine, FL 32086-5454 | 2007-09-13 |
| 1861517286 | Tjl Enterprises Inc | Assisted Living Facility | 2820 Old Moultrie Rd, St Augustine, FL 32086-5454 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275372 | Loving Family Senior Care, LLC | Assisted Living Facility | 2323 Nw 34th St, Miami, FL 33142-5307 | 2020-11-08 |
| 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 | ST AUGUSTINE |
| Zip Code | 32084 |
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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.