Organization Active NPI

Sweet Alice'S Place Inc

  • Assisted Living Facility
  • Jacksonville, FL
National Provider Identifier
1003223009
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12521 Issued in FL
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

Updated by the provider on Jul 22, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.