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FSL JAX BEACH TENANT LLC.
NPI 1073280988
Assisted Living Facility in Jacksonville Beach, FL

Active since August 27, 2021
1315 2ND AVE N, JACKSONVILLE BEACH, FL 32250(904) 829-6479 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fsl Jax Beach Tenant Llc. NPPES

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

FSL JAX BEACH TENANT LLC. (NPI 1073280988), doing business as Beach House Assisted Living And Memory Care, is a healthcare organization registered as an assisted living facility in Jacksonville Beach, Florida and active in the NPI registry since August 2021. The organization lists Leslie Dawn Crayton, Project Manager, as its authorized official.

NPPES Registry Identity

NPI1073280988
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFSL JAX BEACH TENANT LLC.
Location Address1315 2ND AVE NJacksonville Beach, FL 32250-3694
Mailing Address1240 E Independence St Ste 200Springfield, MO 65804-4201 · (417) 877-1717
Phone(904) 829-6479
Organization SubpartNo
Authorized OfficialLeslie Dawn CraytonProject Manager · (417) 877-1717
Enumeration DateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1073280988 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.
1315 2ND AVE N, Jacksonville Beach, FL 32250
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Other Names 1

Doing Business AsBeach House Assisted Living And Memory Care

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.

AUERBACH IV-ARCTOS PROPERTY OWNER LLC
Assisted Living Facility
1315 2ND AVE N
JACKSONVILLE BEACH, FL 32250
Duval County (904) 829-6479
ATHENA BROWN
Physical Therapist
1315 2ND AVE N
JACKSONVILLE BEACH, FL 32250
Duval County (919) 424-5080
KALI BROWNING PTA
Physical Therapist
1315 2ND AVE N
JACKSONVILLE BEACH, FL 32250
Duval County (904) 829-6479
SONJA GEORGE MARTIN MOT
Occupational Therapist
1315 2ND AVE N
JACKSONVILLE BEACH, FL 32250
Duval County (904) 829-6479

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 Fsl Jax Beach Tenant LLC.'s NPI number?

The NPI number for Fsl Jax Beach Tenant LLC. is 1073280988. It was assigned to this organization in the NPPES registry on August 27, 2021. The provider is doing business as Beach House Assisted Living and Memory Care.

Where is Fsl Jax Beach Tenant LLC. located?

Fsl Jax Beach Tenant LLC. is located at 1315 2nd Ave N, Jacksonville Beach, FL 32250. The listed phone number is (904) 829-6479.

What is Fsl Jax Beach Tenant 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 Fsl Jax Beach Tenant LLC. was last updated on August 27, 2021. 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.