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

Q: What is Obi's Assisted Living Facility, LLC's NPI number?

The NPI number for Obi's Assisted Living Facility, LLC is 1407591621. It was assigned to this organization in the NPPES registry on May 2, 2022.

Q: What is Obi's Assisted Living Facility, LLC's specialty?

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

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: August 16, 2026.

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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

Phone(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

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Other Providers at the Same Location NPPES

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

COMFORT ALF LLC

Assisted Living Facility (Assisted Living, Mental Illness)

2122 N MYRTLE AVE
JACKSONVILLE, FL 32209

Duval County (908) 377-1255

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 Obi's Assisted Living Facility, LLC's NPI number?

The NPI number for Obi's Assisted Living Facility, LLC is 1407591621. It was assigned to this organization in the NPPES registry on May 2, 2022.

Where is Obi's Assisted Living Facility, LLC located?

Obi's Assisted Living Facility, LLC is located at 2122 N Myrtle Ave, Jacksonville, FL 32209. The listed phone number is (904) 728-7474.

What is Obi's Assisted Living Facility, LLC'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 Obi's Assisted Living Facility, LLC was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.