Active NPI
Noble Gardens Senior Living, LLC
- Assisted Living Facility
- Jacksonville, FL
National Provider Identifier
1376158568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- NOBLE GARDENS SENIOR LIVING, LLC
- Practice address
- 7024 Wiley Rd
Jacksonville, FL 32210-2736 - Phone
- (727) 697-9920
- NPI assigned
- Sep 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shlomo Greenstein
- Title
- Managing Director
- Phone
- (727) 697-9920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
7024 Wiley Rd
Jacksonville, FL 32210-2736
Mailing address
3012 Avenue J FL 2
Brooklyn, NY 11210-3838
Phone (727) 697-9920
Other names 1
- Noble Gardens Senior Living
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600300800000",
"number": "1376158568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 AVENUE J FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112103838",
"telephone_number": "727-697-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7024 WILEY RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322102736",
"telephone_number": "727-697-9920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOBLE GARDENS SENIOR LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-14",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A",
"authorized_official_last_name": "GREENSTEIN",
"authorized_official_first_name": "SHLOMO",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "727-697-9920"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Noble Gardens Senior Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.