Dayspring Senior Living LLC
Organization Active NPI Assisted Living Facility · Hilliard, FL
NPI 1922540160 · NPPES record last updated Nov 4, 2016
Key facts
- NPI
- 1922540160
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AL12925 (FL)
- Legal business name
- DAYSPRING SENIOR LIVING LLC
- Practice address
- 553600 US Highway 1
Hilliard, FL 32046-8280 - Phone
- (904) 845-2362
- NPI assigned
- Nov 4, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Douglas Adkins
- Title
- Executive Director
- Phone
- (904) 845-7501
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2180048 | Dayspring Senior Living LLC | Certificate of waiver | Mar 4, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL12925 | FL | Yes |
Addresses
Primary practice location
553600 US Highway 1
Hilliard, FL 32046-8280
Mailing address
PO Box 1080
Hilliard, FL 32046-1080
Phone (904) 845-2362
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL12925 | Other | FL | AGENCY FOR HEALTH CARE ADMINISTRATION |
Other providers in Hilliard, FL
- Antwanette Banks
- Alexis Barber
- Kimberly Bravo
- Yolanda Sabrina Carter
- Seketa Cooper-Simmons
- Dayspring Village, Inc.
- Dayspring Village, Inc.
- Dr. Michael V. Sharpe
- Galleon Homecare Services, Inc.
- Galleon Homecare Services, Inc.
All providers in Hilliard, FL · Assisted Living Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.