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SEAGRASS VILLAGE OF FLEMING ISLAND
NPI 1457119059
Assisted Living Facility in Fleming Island, FL

Active since March 08, 2024CLIA 10D2208623 · Waiver
1949 EASTWEST PKWY, FLEMING ISLAND, FL 32003(850) 712-5566 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Seagrass Village Of Fleming Island NPPES

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

SEAGRASS VILLAGE OF FLEMING ISLAND (NPI 1457119059) is a healthcare organization registered as an assisted living facility in Fleming Island, Florida and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Marisa Strain, Cco, as its authorized official.

NPPES Registry Identity

NPI1457119059
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSEAGRASS VILLAGE OF FLEMING ISLAND
Location Address1949 EASTWEST PKWYFleming Island, FL 32003-6403
Mailing Address2573 Barrington CirTallahassee, FL 32308-6805 · (850) 712-5566
Phone(850) 712-5566
Organization SubpartNo
Authorized OfficialMarisa StrainCco · (850) 712-5566
Enumeration DateMarch 8, 2024
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1457119059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
1949 EASTWEST PKWY, Fleming Island, FL 32003
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2208623

Seagrass Village Of Fleming Island · Fleming Island, FL
Active · expires Jan 6, 2027
CLIA Number10D2208623
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorTrisha Lupercio
Laboratory Phone(904) 592-1100
Laboratory LocationSeagrass Village Of Fleming Island1949 East West Parkway, Fleming Island, FL 32003
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KANECIA DAY
Speech-Language Pathologist
1949 EASTWEST PKWY
FLEMING ISLAND, FL 32003
Duval County (904) 872-6685

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 Seagrass Village Of Fleming Island's NPI number?

The NPI number for Seagrass Village Of Fleming Island is 1457119059. It was assigned to this organization in the NPPES registry on March 8, 2024.

Where is Seagrass Village Of Fleming Island located?

Seagrass Village Of Fleming Island is located at 1949 Eastwest Pkwy, Fleming Island, FL 32003. The listed phone number is (850) 712-5566.

What is Seagrass Village Of Fleming Island's specialty?

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

Does Seagrass Village Of Fleming Island hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2208623) is associated with this NPI, valid through January 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Seagrass Village Of Fleming Island was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.