SAMSON VILLA OF ORANGE PARK
NPI 1285068908
Assisted Living Facility in Orange Park, FL

Q: What is Samson Villa Of Orange Park's NPI number?

The NPI number for Samson Villa Of Orange Park is 1285068908. It was assigned to this organization in the NPPES registry on August 29, 2013.

Q: What is Samson Villa Of Orange Park's specialty?

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

Active since August 29, 2013

2757 PEBBLERIDGE CT, ORANGE PARK, FL 32065(904) 375-2011 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samson Villa Of Orange Park NPPES

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

SAMSON VILLA OF ORANGE PARK (NPI 1285068908) is a healthcare organization registered as an assisted living facility in Orange Park, Florida and active in the NPI registry since August 2013. The organization lists Samuel Corbett Granger Ii, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1285068908

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSAMSON VILLA OF ORANGE PARK

Location Address2757 PEBBLERIDGE CTOrange Park, FL 32065-6261

Mailing Address2757 Pebbleridge CourtOrange Park, FL 32065

Phone(904) 375-2011

Organization SubpartNo

Authorized OfficialSamuel Corbett Granger IiOwner/administrator · (904) 755-8707

Enumeration DateAugust 29, 2013

✔ NPI 1285068908 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 · AL12338

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.

2757 PEBBLERIDGE CT, Orange Park, FL 32065

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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 Samson Villa Of Orange Park's NPI number?

The NPI number for Samson Villa Of Orange Park is 1285068908. It was assigned to this organization in the NPPES registry on August 29, 2013.

Where is Samson Villa Of Orange Park located?

Samson Villa Of Orange Park is located at 2757 Pebbleridge Ct, Orange Park, FL 32065. The listed phone number is (904) 375-2011.

What is Samson Villa Of Orange Park'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 Samson Villa Of Orange Park was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.