Fantastic Gardens Assisted Living LLC Dba Fantastic Gardens Home Healthcare

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

FANTASTIC GARDENS ASSISTED LIVING LLC DBA FANTASTIC GARDENS HOME HEALTHCARE

Practice address

153 Blanding Blvd Ste 4
Orange Park, FL 32073-2613

Phone

(904) 372-3736

NPI assigned

Nov 3, 2026

Last updated

Nov 3, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

FANTASTIC GARDENS ASSISTED LIVING LLC DBA FANTASTIC GARDENS HOME HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Mrs. Sherry S Johnson

Title

LPN/Administrator

Phone

(904) 554-0369

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1793664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793664000000",
    "number": "1760381917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BLANDING BLVD STE 4",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732613",
            "telephone_number": "904-372-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BLANDING BLVD STE 4",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732613",
            "telephone_number": "904-372-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANTASTIC GARDENS ASSISTED LIVING LLC DBA FANTASTIC GARDENS HOME HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FANTASTIC GARDENS ASSISTED LIVING LLC DBA FANTASTIC GARDENS HOME HEALTHCARE",
        "enumeration_date": "2026-11-03",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LPN/ADMINISTRATOR",
        "authorized_official_telephone_number": "904-554-0369",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Life Care Inc
• Family Life Care, Inc.
• Family Matters of Florida LLC
• Family Orthodontics of Florida, PLLC
• Family Practice Associates of Orange Park,PA
• Quanetta Mae Farmer
• Jordan Farr, D.O.
• Paul William Farrell III, PT
• Hannah Farris
• Kayla Beth Fazio, D.O.

• Licensed Practical Nurse in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.