Organization Active NPI

Ingleside Alf Home LLC

  • Assisted Living Facility
  • Jacksonville, FL
National Provider Identifier
1770446189
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
INGLESIDE ALF HOME LLC
Practice address
1909 Perry St
Jacksonville, FL 32206-3521
Phone
(904) 686-0102
NPI assigned
Dec 3, 2025
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
INGLESIDE ALF HOME LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Era McGill
Title
Administrator
Phone
(904) 239-0272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1909 Perry St
Jacksonville, FL 32206-3521

Mailing address

1909 Perry St
Jacksonville, FL 32206-3521

National Provider Directory

National Provider Directory
Tax ID family
Ingleside Alf Home LLC2 organizations share this tax ID, including this one
Part of
Ingleside Alf Home LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1770446189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 PERRY ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322063521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 PERRY ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322063521",
            "telephone_number": "904-686-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGLESIDE ALF HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INGLESIDE ALF HOME LLC",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "ERA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-239-0272"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "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 Dec 3, 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.

Verify at the official NPI Registry.