Arlington Adult Residential Facility, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL5360 Issued in FL

Legal business name

ARLINGTON ADULT RESIDENTIAL FACILITY, INC.

Practice address

6300 Arlington Expy
Jacksonville, FL 32211-7144

Phone

(904) 725-6600

Fax

(904) 725-7799

NPI assigned

Mar 13, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Rommel Par Deleon

Title

Administrator

Phone

(904) 725-6600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1215353370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 ARLINGTON EXPY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117144",
            "telephone_number": "904-725-6600",
            "fax_number": "904-725-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 ARLINGTON EXPY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117144",
            "telephone_number": "904-725-6600",
            "fax_number": "904-725-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON ADULT RESIDENTIAL FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "ROMMEL",
        "authorized_official_middle_name": "PAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-725-6600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL5360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140127100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.