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FORT CAROLINE GARDENS
NPI 1245674738
Assisted Living Facility in Jacksonville, FL

Active since April 26, 2013CLIA 10D2203510 · Waiver
9150 FORT CAROLINE RD, JACKSONVILLE, FL 32225(904) 616-4922(904) 674-2262 Get Directions Write a Review

NPPES record last updated: April 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Caroline Gardens NPPES

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

FORT CAROLINE GARDENS (NPI 1245674738) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through December 3, 2026 and lists Alexandra Carpenter, Director Of Admissions, as its authorized official.

NPPES Registry Identity

NPI1245674738
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFORT CAROLINE GARDENS
Location Address9150 FORT CAROLINE RDJacksonville, FL 32225-4335
Mailing Address9150 Fort Caroline RdJacksonville, FL 32225-4335 · (904) 616-4922 · Fax (904) 674-2262
Phone(904) 616-4922
Fax(904) 674-2262
Organization SubpartNo
Authorized OfficialAlexandra CarpenterDirector Of Admissions · (904) 616-4922
Enumeration DateApril 26, 2013
✔ NPI 1245674738 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 · 10960
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.
9150 FORT CAROLINE RD, Jacksonville, FL 32225
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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 10D2203510

Fort Caroline Gardens, Inc · Jacksonville, FL
Active · expires Dec 3, 2026
CLIA Number10D2203510
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorDaniel Cano
Laboratory Phone(904) 743-3315
Laboratory LocationFort Caroline Gardens, Inc9150 Fort Caroline Rd, Jacksonville, FL 32225
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Fort Caroline Gardens's NPI number?

The NPI number for Fort Caroline Gardens is 1245674738. It was assigned to this organization in the NPPES registry on April 26, 2013.

Where is Fort Caroline Gardens located?

Fort Caroline Gardens is located at 9150 Fort Caroline Rd, Jacksonville, FL 32225. The listed phone number is (904) 616-4922.

What is Fort Caroline Gardens's specialty?

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

Does Fort Caroline Gardens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2203510) is associated with this NPI, valid through December 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Caroline Gardens was last updated on April 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.