Pleasant Living Facility, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9304 Issued in FL

Legal business name

PLEASANT LIVING FACILITY, INC.

Practice address

1543 Hill St
Jacksonville, FL 32202-1405

Phone

(904) 353-0501

Fax

(904) 353-8621

NPI assigned

Jul 20, 2009

Last updated

Jul 20, 2009By 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

Gwendolyn Walthour

Title

Administrator/Owner

Phone

(904) 353-0501

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pleasant Living Facility Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pleasant Living Facility Inc

  • Assisted Living Facility
  • Jax, FL
  • NPI 1083803647
  NPD tax ID

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1518197912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 HILL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322021405",
            "telephone_number": "904-353-0501",
            "fax_number": "904-353-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 HILL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322021405",
            "telephone_number": "904-353-0501",
            "fax_number": "904-353-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT LIVING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "WALTHOUR",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "904-353-0501"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677384201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Play Without Limits, LLC
• Play Works Therapies, P.a.
• Play Works Therapies, P.a.
• Ana Estrella Player, RMHCI
• Gerhonda Wanise Plazz
• Gabriela Maina Pleasant, NP
• Jasmine Pleasant
• Misha Pless, MD
• Mary Elizabeth Plewniak, CRNA
• Aaron John Ploessl, D.C.

• 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 Jul 20, 2009; 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.