TROUT RIVER ASSISTED LIVING FACILITY
NPI 1417482654
Assisted Living Facility in Jacksonville, FL

Q: What is Trout River Assisted Living Facility's NPI number?

The NPI number for Trout River Assisted Living Facility is 1417482654. It was assigned to this organization in the NPPES registry on April 25, 2017.

Q: What is Trout River Assisted Living Facility's specialty?

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

Active since April 25, 2017

4106 WOODLEY CREEK RD, JACKSONVILLE, FL 32218(904) 887-3931(904) 862-6916 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Trout River Assisted Living Facility NPPES

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

TROUT RIVER ASSISTED LIVING FACILITY (NPI 1417482654) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since April 2017. The organization lists Valarie Sawyer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1417482654

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameTROUT RIVER ASSISTED LIVING FACILITY

Location Address4106 WOODLEY CREEK RDJacksonville, FL 32218-9184

Mailing Address9821 Ribault AveJacksonville, FL 32208-1492 · (904) 405-5867 · Fax (904) 862-6916

Phone(904) 887-3931

Fax(904) 862-6916

Organization SubpartNo

Authorized OfficialValarie SawyerAdministrator · (904) 887-3931

Enumeration DateApril 25, 2017

✔ NPI 1417482654 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 · AL12997

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.

4106 WOODLEY CREEK RD, Jacksonville, FL 32218

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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 Trout River Assisted Living Facility's NPI number?

The NPI number for Trout River Assisted Living Facility is 1417482654. It was assigned to this organization in the NPPES registry on April 25, 2017.

Where is Trout River Assisted Living Facility located?

Trout River Assisted Living Facility is located at 4106 Woodley Creek Rd, Jacksonville, FL 32218. The listed phone number is (904) 887-3931.

What is Trout River Assisted Living Facility'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 Trout River Assisted Living Facility was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.