NPIMap

Organization Active NPI

Spring Gardens of Orange Park

  • Assisted Living Facility
  • Orange Park, FL
National Provider Identifier
1285077248
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12321 Issued in FL
Legal business name
SPRING GARDENS OF ORANGE PARK
Practice address
2550 Sandlewood Cir
Orange Park, FL 32065-8928
Phone
(904) 276-1778
Fax
(888) 736-5589
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Ms. Dorinda Jenipher Wiley
Title
President
Phone
(904) 891-8793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12321 FL Primary

Addresses

Primary practice location

2550 Sandlewood Cir
Orange Park, FL 32065-8928

Mailing address

2550 Sandlewood Cir
Orange Park, FL 32065-8928
Phone (904) 276-1778

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1285077248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 SANDLEWOOD CIR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658928",
            "telephone_number": "904-276-1778",
            "fax_number": "888-736-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SANDLEWOOD CIR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658928",
            "telephone_number": "904-276-1778",
            "fax_number": "888-736-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GARDENS OF ORANGE PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "DORINDA",
        "authorized_official_middle_name": "JENIPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-891-8793",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.