Organization Active NPI

Ej'S Place Inc.

  • Assisted Living Facility
  • Jacksonville, FL
National Provider Identifier
1023458965
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EJ'S PLACE INC.
Practice address
5045 Doncaster Ave
Jacksonville, FL 32208-1699
Phone
(904) 766-3700
NPI assigned
Jun 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cynthia Leval Griffin
Title
Administrator
Phone
(904) 317-8961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5045 Doncaster Ave
Jacksonville, FL 32208-1699

Mailing address

5210 Witby Ave
Jacksonville, FL 32210-7128
Phone (904) 317-8961

National Provider Directory

National Provider Directory
Tax ID family
Ej'S Place Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1023458965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 WITBY AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107128",
            "telephone_number": "904-317-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 DONCASTER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081699",
            "telephone_number": "904-766-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJ'S PLACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LEVAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-317-8961",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "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 Jun 25, 2013; 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.