Organization Active NPI

Valiz'S Place

  • Assisted Living Facility
  • Jacksonville, FL
National Provider Identifier
1437594207
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 9260 Issued in FL
Legal business name
VALIZ'S PLACE
Practice address
3410 N Myrtle Ave
Jacksonville, FL 32209-4236
Phone
(904) 631-1956
NPI assigned
May 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Mrs. Valorie Wallace, BA
Title
Administrator
Phone
(904) 631-1956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 9260 FL Primary

Addresses

Primary practice location

3410 N Myrtle Ave
Jacksonville, FL 32209-4236

Mailing address

3410 N Myrtle Ave
Jacksonville, FL 32209-4236
Phone (904) 631-1956

National Provider Directory

National Provider Directory

Locations

3410 N Myrtle Ave
Jacksonville, FL 32209
Phone (904) 631-1956

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1437594207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 N MYRTLE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322094236",
            "telephone_number": "904-631-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 N MYRTLE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322094236",
            "telephone_number": "904-631-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALIZ'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "VALORIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-631-1956",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 9260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 7, 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.