THE TRINITY ASSISTED LIVING OF JACKSONVILLE
NPI 1053690818
Assisted Living Facility in Jacksonville, TX

Q: What is Jacksonville I Enterprises LLC's NPI number?

The NPI number for Jacksonville I Enterprises LLC is 1053690818. It was assigned to this organization in the NPPES registry on August 11, 2011. The provider is doing business as The Trinity Assisted Living Of Jacksonville.

Q: What is Jacksonville I Enterprises LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 11, 2011

131 ZIMMERMAN DR., JACKSONVILLE, TX 75766(903) 283-1208(845) 770-3308 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About The Trinity Assisted Living Of Jacksonville NPPES

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

THE TRINITY ASSISTED LIVING OF JACKSONVILLE (NPI 1053690818) is a healthcare organization registered as an assisted living facility in Jacksonville, Texas and active in the NPI registry since August 2011. The organization lists Gary Blake, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1053690818

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameJACKSONVILLE I ENTERPRISES LLC

Location Address131 ZIMMERMAN DR.Jacksonville, TX 75766-0131

Mailing Address131 Zimmerman Dr.Jacksonville, TX 75766-0131 · (903) 283-1208 · Fax (845) 770-3308

Phone(903) 283-1208

Fax(845) 770-3308

Organization SubpartNo

Authorized OfficialGary BlakeManaging Member · (817) 348-8841

Enumeration DateAugust 11, 2011

✔ NPI 1053690818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

131 ZIMMERMAN DR., Jacksonville, TX 75766

Open in Google Maps ↗

Other Names 1

Doing Business AsThe Trinity Assisted Living Of Jacksonville

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 Jacksonville I Enterprises LLC's NPI number?

The NPI number for Jacksonville I Enterprises LLC is 1053690818. It was assigned to this organization in the NPPES registry on August 11, 2011. The provider is doing business as The Trinity Assisted Living Of Jacksonville.

Where is Jacksonville I Enterprises LLC located?

Jacksonville I Enterprises LLC is located at 131 Zimmerman Dr., Jacksonville, TX 75766. The listed phone number is (903) 283-1208.

What is Jacksonville I Enterprises LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Jacksonville I Enterprises LLC was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.