SANJUAN RETIREMENT HOME
NPI 1265780274
Assisted Living Facility - Assisted Living, Mental Illness in Jacksonville, FL

Active since August 22, 2012
7024 WILEY RD, JACKSONVILLE, FL 32210(904) 374-2071 Get Directions Write a Review

NPPES record last updated: August 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanjuan Retirement Home NPPES

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

SANJUAN RETIREMENT HOME (NPI 1265780274) is a healthcare organization registered as an assisted living, mental illness in Jacksonville, Florida and active in the NPI registry since August 2012. The organization lists Elvira Chua Chua, Administrator, as its authorized official.

NPPES Registry Identity

NPI1265780274
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameWILEY RETIREMENT HOME
Location Address7024 WILEY RDJacksonville, FL 32210-2736
Mailing Address7024 Wiley RdJacksonville, FL 32210-2736 · (904) 374-2071
Organization SubpartNo
Authorized OfficialElvira Chua ChuaAdministrator · (904) 374-2071
Enumeration DateAugust 22, 2012
NPI 1265780274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in FL · 12207
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
7024 WILEY RD, Jacksonville, FL 32210

Other Names 1

Doing Business AsSanjuan Retirement Home

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.

Assisted Living Facility
7024 WILEY RD
JACKSONVILLE, FL 32210
Assisted Living Facility
7024 WILEY RD
JACKSONVILLE, FL 32210

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 Wiley Retirement Home's NPI number?

The NPI number for Wiley Retirement Home is 1265780274. It was assigned to this organization in the NPPES registry on August 22, 2012. The provider is doing business as Sanjuan Retirement Home.

Where is Wiley Retirement Home located?

Wiley Retirement Home is located at 7024 Wiley Rd, Jacksonville, FL 32210. The listed phone number is (904) 374-2071.

What is Wiley Retirement Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Wiley Retirement Home was last updated on August 22, 2012. 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.