Organization Active NPI

Mason House, LLC.

  • Assisted Living Facility
  • Jacksonville, FL
National Provider Identifier
1811232259
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12198 Issued in FL
Legal business name
MASON HOUSE, LLC.
Practice address
8005 Renault Drive North
Jacksonville, FL 32244-1325
Phone
(904) 566-3721
Fax
(904) 677-8005
NPI assigned
Dec 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Mrs. Sherri MasonNPI 1558928291
Title
Administrator/Owner
Phone
(904) 566-3721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12198 FL Primary

Addresses

Primary practice location

8005 Renault Drive North
Jacksonville, FL 32244-1325

Mailing address

8005 Renault Drive North
Jacksonville, FL 32244-1325
Phone (904) 566-3721

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1811232259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 RENAULT DRIVE NORTH",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441325",
            "telephone_number": "904-566-3721",
            "fax_number": "904-677-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 RENAULT DRIVE NORTH",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441325",
            "telephone_number": "904-566-3721",
            "fax_number": "904-677-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON HOUSE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "904-566-3721",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12198",
            "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 11, 2012; 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.