Trout River Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12997 Issued in FL

Legal business name

TROUT RIVER ASSISTED LIVING FACILITY

Practice address

4106 Woodley Creek Rd
Jacksonville, FL 32218-9184

Phone

(904) 887-3931

Fax

(904) 862-6916

NPI assigned

Apr 25, 2017

Last updated

Apr 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Valarie Sawyer, RNNPI 1548795891

Title

Administrator

Phone

(904) 887-3931

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valarie Sawyer, RN

  • Registered Nurse
  • Jacksonville, FL
  • NPI 1548795891
  NPD (past) Authorized official

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1417482654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 RIBAULT AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081492",
            "telephone_number": "904-405-5867",
            "fax_number": "904-862-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 WOODLEY CREEK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189184",
            "telephone_number": "904-887-3931",
            "fax_number": "904-862-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROUT RIVER ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-887-3931",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Aufdembrink Trotter, DMD
• Michelle Lynn Trotter, APRN
• Clifford Trouard, PT
• Debra Ann Troupe, LMHC
• Dominique Troupe
• Michelle Deviere Trout, MPH, PHARMD
• Sally May Trout, MD
• Alethea Troutman
• Anjolie Troutman
• Shawna Marie Trovarelli, OTR/L

• 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 25, 2017; 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.