GWK Home of Comfort LLC II

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GWK HOME OF COMFORT LLC II

Practice address

7631 Crest Dr N
Jacksonville, FL 32221-4420

Phone

(904) 647-7370

Fax

(904) 647-7370

NPI assigned

Mar 27, 2017

Reactivated

Jul 5, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Gracie Michelle Sassnett

Title

Adm.

Phone

(904) 635-1606

Specialties & licenses 1

Addresses

Tax ID family

GWK Home of Comfort LLC2 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.

• GWK Home of Comfort LLC

  • Assisted Living Facility
  • Jacksonville, FL
  • NPI 1205258852
  NPD tax ID

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1902337389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 CREST DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322214420",
            "telephone_number": "904-647-7370",
            "fax_number": "904-647-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 CREST DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322214420",
            "telephone_number": "904-647-7370",
            "fax_number": "904-647-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWK HOME OF COMFORT LLC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "deactivation_date": "2017-04-26",
        "reactivation_date": "2017-07-05",
        "status": "A",
        "authorized_official_last_name": "SASSNETT",
        "authorized_official_first_name": "GRACIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADM.",
        "authorized_official_telephone_number": "904-635-1606",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ines Guzman, MD
• Ulises Antonio Guzman, D.D.S.
• Gwendolyn Martin
• Aniela Gwinn
• GWK Home of Comfort LLC
• Raymond Gyarmathy, MD
• Elizabeth Ann Gyland, ARNP
• Sylvia Gyrion
• H. a. Beaver, III Dental Associates
• H. Raymond Klein, D.D.S., P.a.

• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, 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 Sep 16, 2022; 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.