Organization Active NPI

Noble Gardens of Jacksonville, LLC

  • Assisted Living Facility
  • Jacksonville, FL
National Provider Identifier
1639578933
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12207 Issued in FL
Legal business name
NOBLE GARDENS OF JACKSONVILLE, LLC
Practice address
7024 Wiley Rd
Jacksonville, FL 32210-2736
Phone
(904) 374-2071
Fax
(904) 374-2236
NPI assigned
Aug 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Lalaine F Cate, GRADUATE
Title
Business Office Manager
Phone
(904) 374-2071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12207 FL Primary

Addresses

Primary practice location

7024 Wiley Rd
Jacksonville, FL 32210-2736

Mailing address

7024 Wiley Rd
Jacksonville, FL 32210-2736
Phone (904) 374-2071

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1639578933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7024 WILEY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102736",
            "telephone_number": "904-374-2071",
            "fax_number": "904-374-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7024 WILEY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102736",
            "telephone_number": "904-374-2071",
            "fax_number": "904-374-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE GARDENS OF JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "CATE",
        "authorized_official_first_name": "LALAINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "904-374-2071",
        "authorized_official_credential": "GRADUATE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12207",
            "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 Aug 22, 2014; 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.