Spring Gardens of Fleming Island, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12759 Issued in FL

Legal business name

SPRING GARDENS OF FLEMING ISLAND, LLC

Practice address

670 Hibernia Rd
Fleming Island, FL 32003-4570

Phone

(904) 657-2240

Fax

(888) 736-5589

NPI assigned

Dec 14, 2015

Last updated

Jul 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Wilger

Title

Administrator

Phone

(904) 386-6636

Specialties & licenses 1

Addresses

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

  dba Spring Garden Senior Living

  • Assisted Living Facility
  • Orange Park, FL
  • NPI 1760220388
  NPD tax ID

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1780059931",
    "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": "670 HIBERNIA RD",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034570",
            "telephone_number": "904-657-2240",
            "fax_number": "888-736-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GARDENS OF FLEMING ISLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "WILGER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-386-6636"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Fleming Island, FL
• Providers in Fleming Island, 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 18, 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.