PEACHES-NA-BASKET ADULT SERVICES
NPI 1225309040
Assisted Living Facility in Jacksonville, FL

Active since January 25, 2012
2017 SOUTEL DR, JACKSONVILLE, FL 32208(904) 766-3195(904) 330-0762 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peaches-na-basket Adult Services NPPES

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

PEACHES-NA-BASKET ADULT SERVICES (NPI 1225309040) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since January 2012. The organization maintains a secondary practice location in Jacksonville and lists B. Dolores Flemming, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225309040
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePEACHES-NA-BASKET ADULT HEALTH CARE SERVICES
Location Address2017 SOUTEL DRJacksonville, FL 32208
Mailing Address2040 Soutel DrJacksonville, FL 32208-2280 · (904) 766-4993 · Fax (904) 766-4993
Fax(904) 330-0762
Organization SubpartNo
Authorized OfficialB. Dolores FlemmingCeo · (904) 766-4993
Enumeration DateJanuary 25, 2012
Last NPPES UpdateJuly 23, 2018
NPI 1225309040 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 ListedIn Home Supportive CareTaxonomy 253Z00000X
2017 SOUTEL DR, Jacksonville, FL 32208

Other Names 1

Doing Business AsPeaches-na-basket Adult Services

Secondary Practice Location 1

Location 12040 Soutel DrJacksonville, FL 32208-2280 · Phone (904) 766-4993 · Fax (904) 766-4993

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 Peaches-Na-Basket Adult Health Care Services's NPI number?

The NPI number for Peaches-Na-Basket Adult Health Care Services is 1225309040. It was assigned to this organization in the NPPES registry on January 25, 2012. The provider is doing business as Peaches-Na-Basket Adult Services.

Where is Peaches-Na-Basket Adult Health Care Services located?

Peaches-Na-Basket Adult Health Care Services is located at 2017 Soutel Dr, Jacksonville, FL 32208. The listed phone number is (904) 766-3195.

What is Peaches-Na-Basket Adult Health Care Services'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 Peaches-Na-Basket Adult Health Care Services was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.