Organization Active NPI

Caring House Assisted Living Facility LLC

  • Assisted Living Facility
  • Green Cove Springs, FL
National Provider Identifier
1275901605
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12453 Issued in FL
Legal business name
CARING HOUSE ASSISTED LIVING FACILITY LLC
Practice address
3090 Russell Rd
Green Cove Springs, FL 32043-9495
Phone
(904) 531-9045
Fax
(904) 531-9045
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Sherry Smith CraigNPI 1235502402
Title
Administrator
Phone
(904) 531-9045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12453 FL Primary

Addresses

Primary practice location

3090 Russell Rd
Green Cove Springs, FL 32043-9495

Mailing address

3090 Russell Rd
Green Cove Springs, FL 32043-9495
Phone (904) 531-9045

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1275901605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 RUSSELL RD",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320439495",
            "telephone_number": "904-531-9045",
            "fax_number": "904-531-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 RUSSELL RD",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320439495",
            "telephone_number": "904-531-9045",
            "fax_number": "904-531-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HOUSE ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-531-9045"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Cove Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.