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CAROLE STALLWORTH
NPI 1144784638
Assisted Living Facility in Jacksonville, FL

Active since January 29, 2019
5116 MCMANUS DR, JACKSONVILLE, FL 32210(904) 703-0451 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Carole Stallworth NPPES

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

CAROLE STALLWORTH (NPI 1144784638) is an individual assisted living facility provider in Jacksonville, Florida and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1144784638
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameCAROLE STALLWORTH
Location Address5116 MCMANUS DRJacksonville, FL 32210-6353
Mailing Address1264 Harbour Town DrOrange Park, FL 32065-2562
Phone(904) 703-0451
Sole ProprietorYes
Enumeration DateJanuary 29, 2019
✔ NPI 1144784638 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.
5116 MCMANUS DR, Jacksonville, FL 32210
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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 Carole Stallworth's NPI number?

The NPI number for Carole Stallworth is 1144784638. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Carole Stallworth located?

Carole Stallworth practices at 5116 Mcmanus Dr, Jacksonville, FL 32210. The listed phone number is (904) 703-0451.

What is Carole Stallworth'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 Carole Stallworth was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.