THE PALISADES AT EWU
NPI 1154133296
Custodial Care Facility - Adult Care Home in Jacksonville, FL

Q: What is The Palisades At Ewu's NPI number?

The NPI number for The Palisades At Ewu is 1154133296. It was assigned to this organization in the NPPES registry on January 24, 2025.

Q: What is The Palisades At Ewu's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since January 24, 2025

1156 W 4TH ST, JACKSONVILLE, FL 32209(904) 610-5628 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About The Palisades At Ewu NPPES

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

THE PALISADES AT EWU (NPI 1154133296) is a healthcare organization registered as an adult care home in Jacksonville, Florida and active in the NPI registry since January 2025. The organization lists Kenkenyana Roberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154133296

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameTHE PALISADES AT EWU

Location Address1156 W 4TH STJacksonville, FL 32209-7704

Mailing Address77007 Merrill Rd, Unit 8309Jacksonville, FL 32277 · (904) 610-5628

Phone(904) 610-5628

Organization SubpartYesParent: R.o.b. Properties Llc

Authorized OfficialKenkenyana RobertsCeo · (904) 610-5628

Enumeration DateJanuary 24, 2025

NPPES CertifiedJanuary 20, 2025

✔ NPI 1154133296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Also ListedAssisted Living FacilityTaxonomy 310400000X

1156 W 4TH ST, Jacksonville, FL 32209

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Other Names 1

Doing Business AsThe Palisades At Ewu

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 The Palisades At Ewu's NPI number?

The NPI number for The Palisades At Ewu is 1154133296. It was assigned to this organization in the NPPES registry on January 24, 2025.

Where is The Palisades At Ewu located?

The Palisades At Ewu is located at 1156 W 4th St, Jacksonville, FL 32209. The listed phone number is (904) 610-5628.

What is The Palisades At Ewu's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for The Palisades At Ewu was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.