Fort Caroline Gardens

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10960 Issued in FL

Legal business name

FORT CAROLINE GARDENS

Practice address

9150 Fort Caroline Rd
Jacksonville, FL 32225-4335

Phone

(904) 616-4922

Fax

(904) 674-2262

NPI assigned

Apr 26, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Alexandra Carpenter

Title

Director of Admissions

Phone

(904) 616-4922

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1245674738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 FORT CAROLINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254335",
            "telephone_number": "904-616-4922",
            "fax_number": "904-674-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 FORT CAROLINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254335",
            "telephone_number": "904-616-4922",
            "fax_number": "904-674-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT CAROLINE GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "DIRECTOR OF ADMISSIONS",
        "authorized_official_telephone_number": "904-616-4922",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John G. Forster, MD
• Rebecca Forster, APRN
• Robert J Forster, MD
• Fort Caroline Clinic of Chiropractic
• Fort Caroline Clinic of Chiropractic
• Johnnethel M Fort, OTR/L
• Kathleen Frank Fort, APRN
• Peter Anthony Fort, D.C
• Adria Pratt Forte, LMHC
• Antonio Forte, MD

• 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 Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.