SANDLAKE LIVING ASSISTING HOME
NPI 1457306797
Assisted Living Facility - Assisted Living, Mental Illness in Jacksonville, FL
- Organization
- Assisted Living Facility
- Assisted Living, Mental Illness
About SANDLAKE LIVING ASSISTING HOME
This page provides the complete NPI Profile along with additional information for Sandlake Living Assisting Home, a provider established in Jacksonville, Florida operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1457306797 assigned on May 2006. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Lashawnda Kim Lewis (Ceo)
- NPI
- 1457306797 Verify this NPI
- Provider Name
- SANDLAKE LIVING ASSISTING HOME
- Entity Type
- Organization
- Location Address
- 7798 ORTEGA BLUFF PKWY JACKSONVILLE, FL 32244
- Location Phone
- (904) 779-6878
- Location Fax
- (904) 772-7733
- Mailing Address
- 7798 ORTEGA BLUFF PKWY JACKSONVILLE, FL 32244
- Mailing Phone
- (904) 779-6878
- Mailing Fax
- (904) 772-7733
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-24-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility Assisted Living, Mental Illness
- Taxonomy Code
- 3104A0625X
- Type
- Nursing & Custodial Care Facilities
- License State
- FL
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457306797, enumerated as an "organization" on May 24, 2006.
The provider is located at 7798 ORTEGA BLUFF PKWY JACKSONVILLE, FL 32244 and the phone number is (904) 779-6878.
Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.
