OBI'S ASSISTED LIVING FACILITY, LLC
NPI 1407591621
Assisted Living Facility - Assisted Living, Mental Illness in Jacksonville, FL

Active since May 02, 2022
2122 N MYRTLE AVE, JACKSONVILLE, FL 32209(904) 728-7474 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Obi's Assisted Living Facility, Llc NPPES

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

OBI'S ASSISTED LIVING FACILITY, LLC (NPI 1407591621) is a healthcare organization registered as an assisted living, mental illness in Jacksonville, Florida and active in the NPI registry since May 2022. The organization lists Makaela Obi, Owner, as its authorized official.

NPPES Registry Identity

NPI1407591621
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameOBI'S ASSISTED LIVING FACILITY, LLC
Location Address2122 N MYRTLE AVEJacksonville, FL 32209-5633
Mailing Address2122 N Myrtle AveJacksonville, FL 32209-5633 · (904) 728-7474
Organization SubpartNo
Authorized OfficialMakaela ObiOwner · (904) 728-7474
Enumeration DateMay 2, 2022
NPPES CertifiedMay 2, 2022
NPI 1407591621 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
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.

2122 N MYRTLE AVE, Jacksonville, FL 32209

Other Providers at the Same Location NPPES

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

Assisted Living Facility (Assisted Living, Mental Illness)
2122 N MYRTLE AVE
JACKSONVILLE, FL 32209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407591621, enumerated as an "organization" on May 02, 2022.

The provider is located at 2122 N MYRTLE AVE JACKSONVILLE, FL 32209 and the phone number is (904) 728-7474.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.