BROOKDALE SOUTHPOINT
NPI 1184832107
Assisted Living Facility in Jacksonville, FL

Q: What is Esc New Port Richey, Llcemeritus Properties Ngh LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since May 21, 2007CLIA 10D1017283 · Waiver

6895 BELFORT OAKS PL, JACKSONVILLE, FL 32216(904) 296-2384(904) 296-2915 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2016, Mar 29, 2016 (2 updates tracked since 2016).

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About Brookdale Southpoint NPPES

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

BROOKDALE SOUTHPOINT (NPI 1184832107) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Bryan Richardson, Evp, Chief Admin. Officer, as its authorized official.

NPPES Registry Identity

NPI1184832107

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameESC NEW PORT RICHEY, LLCEMERITUS PROPERTIES NGH LLC

Location Address6895 BELFORT OAKS PLJacksonville, FL 32216-6242

Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647

Phone(904) 296-2384

Fax(904) 296-2915

Organization SubpartNo

Authorized OfficialBryan RichardsonEvp, Chief Admin. Officer · (615) 564-8131

Enumeration DateMay 21, 2007

Last NPPES UpdateMay 13, 20162 updates tracked since enumeration

✔ NPI 1184832107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL9380

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.

Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License AL9380 (FL)

6895 BELFORT OAKS PL, Jacksonville, FL 32216

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Other Names 1

Doing Business AsBrookdale Southpoint

Other Identifiers 1

Medicaid0058000-00FL

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 10D1017283

Brookdale Southpoint · Jacksonville, FL

Active · expires Sep 21, 2027

CLIA Number10D1017283

Laboratory TypeAssisted Living Facility

Certificate Effective DateSeptember 22, 2025

Certificate Expiration DateSeptember 21, 2027

Laboratory DirectorDebra Clark

Laboratory Phone(904) 296-2384

Laboratory LocationBrookdale Southpoint6895 Belfort Oaks Pl, 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 5

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

MS. SHENIKA FOUNTAIN OTA

Occupational Therapy Assistant