Organization Active NPI

Seagrass Village of Fleming Island

  • Assisted Living Facility
  • Fleming Island, FL
National Provider Identifier
1457119059
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SEAGRASS VILLAGE OF FLEMING ISLAND
Practice address
1949 Eastwest Pkwy
Fleming Island, FL 32003-6403
Phone
(850) 712-5566
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Marisa Strain, RN
Title
Cco
Phone
(850) 712-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1949 Eastwest Pkwy
Fleming Island, FL 32003-6403

Mailing address

2573 Barrington Cir
Tallahassee, FL 32308-6805
Phone (850) 712-5566

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1457119059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 BARRINGTON CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086805",
            "telephone_number": "850-712-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 EASTWEST PKWY",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036403",
            "telephone_number": "850-712-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGRASS VILLAGE OF FLEMING ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "STRAIN",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "850-712-5566",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.