Active NPI
The Fannie E. Taylor Home for the Aged, Inc.
- Custodial Care Facility
- Jacksonville, FL
National Provider Identifier
1679612147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- AL5926
- Legal business name
- THE FANNIE E. TAYLOR HOME FOR THE AGED, INC.
- Practice address
- 3937 Spring Park Rd
Jacksonville, FL 32207-5739 - Phone
- (904) 636-0313
- Fax
- (904) 367-0021
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mathew Sherburne
- Title
- V.P. Finance & Administration
- Phone
- (904) 636-0313
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL5926 | FL | |
| Custodial Care Facility | 311Z00000X | AL5926 | FL | Primary |
Addresses
Primary practice location
3937 Spring Park Rd
Jacksonville, FL 32207-5739
Mailing address
6601 Chester Ave
Jacksonville, FL 32217-2252
Phone (904) 636-0313
Other names 1
- Taylor Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1679612147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 CHESTER AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172252",
"telephone_number": "904-636-0313",
"fax_number": "904-367-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3937 SPRING PARK RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322075739",
"telephone_number": "904-636-0313",
"fax_number": "904-367-0021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FANNIE E. TAYLOR HOME FOR THE AGED, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SHERBURNE",
"authorized_official_first_name": "MATHEW",
"authorized_official_title_or_position": "V.P. FINANCE & ADMINISTRATION",
"authorized_official_telephone_number": "904-636-0313"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL5926",
"primary": false
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "FL",
"license": "AL5926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Taylor Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
- The Essence of Joy Home Support LLC
- The Eye Doctor, P.a.
- The Fannie E. Taylor Home for the Aged - Care Center, Inc.
- The Fannie E. Taylor Home for the Aged - Taylor Manor, Inc.
- The Fannie E. Taylor Home for the Aged, Inc.
- The Glam Pass Inc.
- The Guidance Clinic, Inc.
- The H Counseling & Consulting Agency, LLC
- The Higbee Company
- The Honey Bee Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.