A PREMIER LIVING CARE CENTER LLC
NPI 1295429918
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Active since June 06, 2023
5204 BRUNCHE DRIVE, JACKSONVILLE, FL 32209(904) 485-0978 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About A Premier Living Care Center Llc NPPES

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

A PREMIER LIVING CARE CENTER LLC (NPI 1295429918) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, Florida and active in the NPI registry since June 2023. The organization lists Debra Avery, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1295429918
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameA PREMIER LIVING CARE CENTER LLC
Location Address5204 BRUNCHE DRIVEJacksonville, FL 32209
Mailing Address4720 Salisbury RdJacksonville, FL 32256-6101
Organization SubpartNo
Authorized OfficialDebra AveryOwner/ceo · (904) 485-0978
Enumeration DateJune 6, 2023
NPPES CertifiedMay 9, 2023
NPI 1295429918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
5204 BRUNCHE DRIVE, Jacksonville, FL 32209

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 A Premier Living Care Center LLC's NPI number?

The NPI number for A Premier Living Care Center LLC is 1295429918. It was assigned to this organization in the NPPES registry on June 6, 2023.

Where is A Premier Living Care Center LLC located?

A Premier Living Care Center LLC is located at 5204 Brunche Drive, Jacksonville, FL 32209. The listed phone number is (904) 485-0978.

What is A Premier Living Care Center LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for A Premier Living Care Center LLC was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.