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TIKI STAFFORD
NPI 1104332188
Assisted Living Facility in Jacksonville, FL

Active since December 28, 2017
523 FERN ST, JACKSONVILLE, FL 32206(904) 379-2061 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tiki Stafford NPPES

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

TIKI STAFFORD (NPI 1104332188) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since December 2017. The organization lists Tiki Stafford, Administartor, as its authorized official.

NPPES Registry Identity

NPI1104332188
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameREFFINES HOUSE
Location Address523 FERN STJacksonville, FL 32206-6238
Mailing Address523 Fern StJacksonville, FL 32206-6238 · (904) 379-2061
Phone(904) 379-2061
Organization SubpartNo
Authorized OfficialTiki StaffordAdministartor · (904) 233-1090
Enumeration DateDecember 28, 2017
✔ NPI 1104332188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed · AL11189
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.
523 FERN ST, Jacksonville, FL 32206
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Other Names 1

Doing Business AsTiki Stafford

Other Identifiers 1

Medicaid143051300FL

Other Providers at the Same Location NPPES

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

TIKI STAFFORD
Lodging
523 FERN ST
JACKSONVILLE, FL 32206
Duval County (904) 764-2891

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 Reffines House's NPI number?

The NPI number for Reffines House is 1104332188. It was assigned to this organization in the NPPES registry on December 28, 2017. The provider is doing business as Tiki Stafford.

Where is Reffines House located?

Reffines House is located at 523 Fern St, Jacksonville, FL 32206. The listed phone number is (904) 379-2061.

What is Reffines House'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 Reffines House was last updated on December 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.