NPIMap

Organization Active NPI

Ej's Place, Inc.

  • Assisted Living Facility
  • Jacksonville, FL
National Provider Identifier
1851558183
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10878 Issued in FL
Legal business name
EJ'S PLACE, INC.
Practice address
5045 Doncaster Ave
Jacksonville, FL 32208-1699
Phone
(904) 766-3700
Fax
(904) 713-8027
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mrs. Cynthia L. Griffin
Title
Administrator/Owner
Phone
(904) 766-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10878 FL Primary

Addresses

Primary practice location

5045 Doncaster Ave
Jacksonville, FL 32208-1699

Mailing address

5045 Doncaster Ave
Jacksonville, FL 32208-1699
Phone (904) 766-3700

National Provider Directory

National Provider Directory
Tax ID family
Ej's Place Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1851558183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 DONCASTER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081699",
            "telephone_number": "904-766-3700",
            "fax_number": "904-713-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 DONCASTER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081699",
            "telephone_number": "904-766-3700",
            "fax_number": "904-713-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJ'S PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "904-766-3700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10878",
            "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 May 22, 2008; 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.