Middleburg Assisted Living Facility, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11083 Issued in FL

Legal business name

MIDDLEBURG ASSISTED LIVING FACILITY, INC.

Practice address

4192 Clove St
Middleburg, FL 32068-6100

Phone

(904) 673-1419

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Marie Jenkins

Title

Administrator

Phone

(904) 291-1632

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1881882918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4192 CLOVE ST",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686100",
            "telephone_number": "904-673-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4192 CLOVE ST",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686100",
            "telephone_number": "904-673-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURG ASSISTED LIVING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-291-1632",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Michael Melzer, M.D.
• Daniel J Messcher, M.D.
• Mena Ayman Messiha, DPM
• Michelle Meyer
• Michael S Nason OD PA
• Middleburg Dental PLLC
• Middleburg Dialysis LLC
• Middleburg Rehabilitation and Nursing Center LLC
• Middleburg Surgery Center LLC
• Millennium Physician Group LLC

• Assisted Living Facility in Middleburg, FL
• Providers in Middleburg, 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 Oct 15, 2007; 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.