Classy Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11355 Issued in FL

Legal business name

CLASSY LIVING

Practice address

5714 Plum Hollow Dr W
Jacksonville, FL 32222-1373

Phone

(904) 716-8376

NPI assigned

Dec 10, 2008

Organization subpart

No

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

Authorized official

Name

Theresa Garnett

Title

Owner

Phone

(904) 716-8376

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1033354659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 PLUM HOLLOW DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322221373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 PLUM HOLLOW DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322221373",
            "telephone_number": "904-716-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "GARNETT",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-716-8376"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11355",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "AL11355",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29396",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashly Clarke
• Debbie Clarke, SLP
• Janice Clarke, MD
• Marfreeia Yolanda Clarke, PHARMD
• Julia Clarkson, ARNP
• Alyssa Claudio
• Evette Claudio, LMT
• Joshua Daniel Claunch, M.D.
• Curtis Allen Clausen, APRN
• Heather Marie Clavette

• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.