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DIVERSITY ME
NPI 1225544208
Assisted Living Facility in Jacksonville, FL

Active since December 28, 2017
3225 N MYRTLE AVE, JACKSONVILLE, FL 32209(904) 233-1090 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diversity Me NPPES

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

DIVERSITY ME (NPI 1225544208) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since December 2017. The organization lists Tiki Stafford, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225544208
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTIKI STAFFORD
Location Address3225 N MYRTLE AVEJacksonville, FL 32209-4231
Mailing Address3225 N Myrtle AveJacksonville, FL 32209-4231 · (904) 233-1090
Phone(904) 233-1090
Organization SubpartNo
Authorized OfficialTiki StaffordAdministrator · (904) 233-1090
Enumeration DateDecember 28, 2017
✔ NPI 1225544208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL11951
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.
3225 N MYRTLE AVE, Jacksonville, FL 32209
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Other Names 1

Doing Business AsDiversity Me

Other Identifiers 1

Medicaid004414400FL

Other Providers at the Same Location NPPES

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

GOLDEN DAYS ASSISTED LIVING
Assisted Living Facility
3225 N MYRTLE AVE
JACKSONVILLE, FL 32209
Duval County (904) 879-4230

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 Tiki Stafford's NPI number?

The NPI number for Tiki Stafford is 1225544208. It was assigned to this organization in the NPPES registry on December 28, 2017. The provider is doing business as Diversity Me.

Where is Tiki Stafford located?

Tiki Stafford is located at 3225 N Myrtle Ave, Jacksonville, FL 32209. The listed phone number is (904) 233-1090.

What is Tiki Stafford'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 Tiki Stafford was last updated on December 28, 2017. 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.