Organization Active NPI

Sabrinas Love and Care

  • Adult Care Home Facility
  • Jacksonville, FL
National Provider Identifier
1790152866
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
CNA232585 Issued in FL
Legal business name
SABRINAS LOVE AND CARE
Practice address
1701 Lake Shore Blvd Apt 2202
Jacksonville, FL 32210-1669
Phone
(904) 333-0164
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Sabrina Mallory
Title
Cna/Owner
Phone
(904) 333-0164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X CNA232585 FL Primary

Addresses

Primary practice location

1701 Lake Shore Blvd Apt 2202
Jacksonville, FL 32210-1669

Mailing address

1701 Lake Shore Blvd Apt 2202
Jacksonville, FL 32210-1669
Phone (904) 333-0164

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1790152866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LAKE SHORE BLVD APT 2202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101669",
            "telephone_number": "904-333-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LAKE SHORE BLVD APT 2202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101669",
            "telephone_number": "904-333-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABRINAS LOVE AND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "CNA/OWNER",
        "authorized_official_telephone_number": "904-333-0164"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "CNA232585",
            "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 Aug 25, 2015; 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.