3455 SAN PABLO RD S TENANT LLC
NPI 1205664349
Assisted Living Facility in Jacksonville, FL

Q: What is 3455 San Pablo Rd S Tenant LLC's NPI number?

The NPI number for 3455 San Pablo Rd S Tenant LLC is 1205664349. It was assigned to this organization in the NPPES registry on July 22, 2024. The provider is doing business as The Gables of Jacksonville.

Q: What is 3455 San Pablo Rd S Tenant LLC's specialty?

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

Active since July 22, 2024

3455 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 821-8030 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About 3455 San Pablo Rd S Tenant Llc NPPES

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

3455 SAN PABLO RD S TENANT LLC (NPI 1205664349), doing business as The Gables Of Jacksonville, is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since July 2024. The organization lists Sharon Makowsky, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1205664349

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business Name3455 SAN PABLO RD S TENANT LLC

Location Address3455 SAN PABLO RD SJacksonville, FL 32224-3803

Mailing Address8415 E 21st St N Ste 100Wichita, KS 67206-2959 · (316) 616-6288

Phone(904) 821-8030

Organization SubpartNo

Authorized OfficialSharon MakowskyAuthorized Representative · (419) 247-2800

Enumeration DateJuly 22, 2024

NPPES CertifiedJune 28, 2024

✔ NPI 1205664349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X

3455 SAN PABLO RD S, Jacksonville, FL 32224

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Other Names 1

Doing Business AsThe Gables Of Jacksonville

Other Providers at the Same Location NPPES 2

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

HARBORCHASE OF JACKSONVILLE, INC.

Assisted Living Facility

3455 SAN PABLO RD S
JACKSONVILLE, FL 32224

Duval County (904) 821-8030

JUNIE VICTOR

Physical Therapist

3455 SAN PABLO RD S
JACKSONVILLE, FL 32224

Duval County (904) 821-8030

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 3455 San Pablo Rd S Tenant LLC's NPI number?

The NPI number for 3455 San Pablo Rd S Tenant LLC is 1205664349. It was assigned to this organization in the NPPES registry on July 22, 2024. The provider is doing business as The Gables of Jacksonville.

Where is 3455 San Pablo Rd S Tenant LLC located?

3455 San Pablo Rd S Tenant LLC is located at 3455 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 821-8030.

What is 3455 San Pablo Rd S Tenant LLC'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 3455 San Pablo Rd S Tenant LLC was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.