Jax Senior Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JAX SENIOR CARE LLC

Practice address

119 Da Vinci Blvd
Ponte Vedra, FL 32081-8821

Phone

(904) 326-0900

Fax

(904) 326-0913

NPI assigned

Nov 9, 2020

Organization subpart

No

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

Authorized official

Name

Mr. James Daniel Fischer

Title

Administrator

Phone

(904) 326-0900

Specialties & licenses 1

Addresses

Other names 1

• Silver Treasures at Ponte Vedra Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1982206645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 DA VINCI BLVD",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320818821",
            "telephone_number": "904-326-0900",
            "fax_number": "904-326-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 DA VINCI BLVD",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320818821",
            "telephone_number": "904-326-0900",
            "fax_number": "904-326-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-326-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JFischer@Silvertreasurespv.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "119 Da Vinci Blvd",
            "city": "Ponte Vedra",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320818821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Silver Treasures at Ponte Vedra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Lyn Inks
• Inner Strength Physical Therapy, LLC.
• Integrated Health Clinical Counseling P.L.L.C.
• Jacksonville Orthopaedic Institute Inc
• Jax Psychiatry LLC
• Monique Y Jefferson, M.D.
• Leah Mary Johnson, ARNP
• Mitchell Johnson
• Brittany Jones
• James Matthew Jones, DO

• Assisted Living Facility in Ponte Vedra, FL
• Providers in Ponte Vedra, 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 Nov 9, 2020; 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.