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CAROLYN CLANTON ALF LLC
NPI 1003434028
Assisted Living Facility - Assisted Living, Mental Illness in Jennings, FL

Active since July 07, 2020
1146 HAMILTON AVE, JENNINGS, FL 32053(386) 938-4102 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2022, Jul 7, 2020 (2 updates tracked since 2020).

About Carolyn Clanton Alf Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN CLANTON ALF LLC (NPI 1003434028) is a healthcare organization registered as an assisted living, mental illness in Jennings, Florida and active in the NPI registry since July 2020. The organization lists Heather N Davis, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1003434028
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameCAROLYN CLANTON ALF LLC
Location Address1146 HAMILTON AVEJennings, FL 32053-2253
Mailing Address1146 Hamilton AveJennings, FL 32053-2253 · (229) 300-5469
Phone(386) 938-4102
Organization SubpartNo
Authorized OfficialHeather N DavisAdministrator/owner · (386) 855-1357
Enumeration DateJuly 7, 2020
Last NPPES UpdateApril 28, 20222 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
✔ NPI 1003434028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
1146 HAMILTON AVE, Jennings, FL 32053
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Other Names 1

Doing Business AsCarolyn Clanton Alf Llc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Clanton Alf LLC's NPI number?

The NPI number for Carolyn Clanton Alf LLC is 1003434028. It was assigned to this organization in the NPPES registry on July 7, 2020.

Where is Carolyn Clanton Alf LLC located?

Carolyn Clanton Alf LLC is located at 1146 Hamilton Ave, Jennings, FL 32053. The listed phone number is (386) 938-4102.

What is Carolyn Clanton Alf LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Carolyn Clanton Alf LLC was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.