Spring Gardens of Fleming Island, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPRING GARDENS OF FLEMING ISLAND, LLC

Practice address

2771 Secret Harbor Dr
Orange Park, FL 32065-7674

Phone

(904) 375-0852

Fax

(888) 736-5589

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Michelle L Wilger

Title

Owner/Administrator

Phone

(904) 386-6636

Specialties & licenses 1

Addresses

Other names 1

• Spring Garden Senior Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Spring Garden Senior Living2 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.

• Spring Gardens of Fleming Island, LLC

  • Assisted Living Facility
  • Fleming Island, FL
  • NPI 1780059931
  NPD tax ID

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1760220388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 HIBERNIA RD",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034570",
            "telephone_number": "904-657-2240",
            "fax_number": "888-736-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 SECRET HARBOR DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657674",
            "telephone_number": "904-375-0852",
            "fax_number": "888-736-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GARDENS OF FLEMING ISLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "WILGER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "904-386-6636"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Garden Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dan R Spearman, MD
• Keighley Speights
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• Spine & Disc Center
• Spinecare Anesthesia LLC
• Spring Gardens of Orange Park
• Kaylee Grace Sprowls
• Sri Sai Sanvi Integrative Pharmacy Services LLC
• MHD Osama Srour
• St. Johns Chiropractic & Nutrition, LLC

• Assisted Living Facility in Orange Park, FL
• Providers in Orange Park, 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 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.