PALM GARDEN OF JACKSONVILLE
NPI 1144226440
Skilled Nursing Facility in Jacksonville, FL

Active since June 22, 2005CLIA 10D0645118 · Waiver
5725 SPRING PARK RD, JACKSONVILLE, FL 32216(904) 733-6954(904) 733-4877 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Palm Garden Of Jacksonville NPPES

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

PALM GARDEN OF JACKSONVILLE (NPI 1144226440) is a healthcare organization registered as a skilled nursing facility in Jacksonville, Florida and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Alex Paley, Coo, as its authorized official.

NPPES Registry Identity

NPI1144226440
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSA-PG-JACKSONVILLE LLC
Location Address5725 SPRING PARK RDJacksonville, FL 32216-5955
Mailing Address5725 Spring Park RdJacksonville, FL 32216-5955 · (904) 733-6954 · Fax (904) 733-4877
Fax(904) 733-4877
Organization SubpartNo
Authorized OfficialAlex PaleyCoo · (914) 390-4363
Enumeration DateJune 22, 2005
Last NPPES UpdateJuly 22, 2008
NPI 1144226440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in FL · SNF1406096
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
5725 SPRING PARK RD, Jacksonville, FL 32216

Other Names 1

Doing Business AsPalm Garden Of Jacksonville

Other Identifiers 2

Medicaid025727300FL
Medicare OSCAR/certification105682FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0645118

Palm Garden Of Jacksonville · Jacksonville, FL
Active · expires Aug 31, 2026
CLIA Number10D0645118
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKenyonn Demps
Laboratory Phone(904) 733-6954
Laboratory LocationPalm Garden Of Jacksonville5725 Spring Park Rd, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Physical Therapist
5725 SPRING PARK RD
JACKSONVILLE, FL 32216
Skilled Nursing Facility
5725 SPRING PARK RD
JACKSONVILLE, FL 32216
Speech-Language Pathologist
5725 SPRING PARK RD
JACKSONVILLE, FL 32216

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 Sa-Pg-Jacksonville LLC's NPI number?

The NPI number for Sa-Pg-Jacksonville LLC is 1144226440. It was assigned to this organization in the NPPES registry on June 22, 2005. The provider is doing business as Palm Garden Of Jacksonville.

Where is Sa-Pg-Jacksonville LLC located?

Sa-Pg-Jacksonville LLC is located at 5725 Spring Park Rd, Jacksonville, FL 32216. The listed phone number is (904) 733-6954.

What is Sa-Pg-Jacksonville LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Sa-Pg-Jacksonville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0645118) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sa-Pg-Jacksonville LLC was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.