NPIMap

Organization Active NPI

Anam Parc, LLC.

Doing business as Anam Parc

  • Assisted Living Facility
  • Jacksonville, FL
National Provider Identifier
1447639216
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12145 Issued in FL
Legal business name
ANAM PARC, LLC.
Doing business as
Anam Parc
Practice address
4294 Tanglewilde Dr S
Jacksonville, FL 32257-6439
Phone
(904) 610-6602
NPI assigned
May 26, 2015
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ANAM PARC, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Jamie Louise Glavich
Title
Owner
Phone
(904) 610-6602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12145 FL Primary

Addresses

Primary practice location

4294 Tanglewilde Dr S
Jacksonville, FL 32257-6439

Mailing address

3604 Cardinal Point Dr
Jacksonville, FL 32257-5581
Phone (904) 610-6602

Other names 1

  • Anam Parc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anam Parc LLC2 organizations share this tax ID, including this one
Part of
Anam Parc LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1447639216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575581",
            "telephone_number": "904-610-6602",
            "fax_number": "904-731-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4294 TANGLEWILDE DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576439",
            "telephone_number": "904-610-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAM PARC, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANAM PARC, LLC.",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "GLAVICH",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-610-6602"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anam Parc",
            "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 May 26, 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.