Organization Active NPI

Perma Care Assisted Living Facility, LLC

  • Assisted Living Facility
  • Jacksonville, FL
National Provider Identifier
1699149757
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12765 Issued in FL
Legal business name
PERMA CARE ASSISTED LIVING FACILITY, LLC
Practice address
7226 Eudine Dr S
Jacksonville, FL 32210-2633
Phone
(904) 723-1885
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Ms. Perma L McKenzie
Title
Administrator
Phone
(904) 731-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12765 FL Primary

Addresses

Primary practice location

7226 Eudine Dr S
Jacksonville, FL 32210-2633

Mailing address

7226 Eudine Dr S
Jacksonville, FL 32210-2633
Phone (904) 723-1885

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1699149757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7226 EUDINE DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102633",
            "telephone_number": "904-723-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7226 EUDINE DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102633",
            "telephone_number": "904-723-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMA CARE ASSISTED LIVING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "PERMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-731-6500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12765",
            "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 Apr 4, 2017; 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.