Active NPI
Sweet Alice'S Place Inc
- Assisted Living Facility
- Jacksonville, FL
National Provider Identifier
1003223009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL12521
- Legal business name
- SWEET ALICE'S PLACE INC
- Practice address
- 2317 W 25TH St
Jacksonville, FL 32209-3511 - Phone
- (904) 860-9621
- Fax
- (904) 743-8211
- NPI assigned
- Jul 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dante' Ursin
- Title
- Ceo/Director
- Phone
- (904) 860-9621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL12521 | FL | Primary |
Addresses
Primary practice location
2317 W 25TH St
Jacksonville, FL 32209-3511
Mailing address
3545 Raymur Villa Dr
Jacksonville, FL 32277-0907
Phone (904) 860-9621
National Provider Directory
National Provider DirectoryLocations
2317 W 25th St
Jacksonville, FL 32209
Phone (904) 860-9621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405987200000",
"number": "1003223009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 RAYMUR VILLA DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322770907",
"telephone_number": "904-860-9621",
"fax_number": "904-743-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 W 25TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322093511",
"telephone_number": "904-860-9621",
"fax_number": "904-743-8211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEET ALICE'S PLACE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A",
"authorized_official_last_name": "URSIN",
"authorized_official_first_name": "DANTE'",
"authorized_official_title_or_position": "CEO/DIRECTOR",
"authorized_official_telephone_number": "904-860-9621"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL12521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.