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SAN JUAN RETIREMENT HOME
NPI 1053656199
Alzheimer Center (Dementia Center) in Jacksonville, FL

Active since November 29, 2012
6561 SAN JUAN AVE, JACKSONVILLE, FL 32210(904) 695-9605(904) 693-1973 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About San Juan Retirement Home NPPES

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

SAN JUAN RETIREMENT HOME (NPI 1053656199) is a healthcare organization registered as an alzheimer center (dementia center) in Jacksonville, Florida and active in the NPI registry since November 2012. The organization lists Elvira Chua Demdam, Alf Administrator, as its authorized official.

NPPES Registry Identity

NPI1053656199
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameSAN JUAN RETIREMENT HOME
Location Address6561 SAN JUAN AVEJacksonville, FL 32210-2857
Mailing Address6561 San Juan AveJacksonville, FL 32210-2857 · (904) 695-9605 · Fax (904) 693-1973
Phone(904) 695-9605
Fax(904) 693-1973
Organization SubpartNo
Authorized OfficialElvira Chua DemdamAlf Administrator · (904) 695-9605
Enumeration DateNovember 29, 2012
✔ NPI 1053656199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
License✔ Licensed in FL · 9587
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
6561 SAN JUAN AVE, Jacksonville, FL 32210
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOBLE HOUSE RETIREMENT OF JACKSONVILLE
Assisted Living Facility
6561 SAN JUAN AVE
JACKSONVILLE, FL 32210
Duval County (904) 695-9605
MS. VICKI LORAYNE SELLNER O.T.R.
Occupational Therapist
6561 SAN JUAN AVE
JACKSONVILLE, FL 32210
Duval County (904) 695-9605
NOBLE HOUSE SENIOR LIVING, LLC
Assisted Living Facility
6561 SAN JUAN AVE
JACKSONVILLE, FL 32210
Duval County (727) 697-9920
SAN JUAN RETIREMENT HOME
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
6561 SAN JUAN AVE
JACKSONVILLE, FL 32210
Duval County (904) 695-9605

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 San Juan Retirement Home's NPI number?

The NPI number for San Juan Retirement Home is 1053656199. It was assigned to this organization in the NPPES registry on November 29, 2012.

Where is San Juan Retirement Home located?

San Juan Retirement Home is located at 6561 San Juan Ave, Jacksonville, FL 32210. The listed phone number is (904) 695-9605.

What is San Juan Retirement Home's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

When was this NPI record last updated?

The NPPES record for San Juan Retirement Home was last updated on November 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.