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THE CANOPY AT DUVAL STATION
NPI 1487412086
Assisted Living Facility in Jacksonville, FL

Active since March 08, 2024CLIA 10D2330038 · Waiver
1035 STARRATT RD, JACKSONVILLE, FL 32218(850) 712-5566 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Canopy At Duval Station NPPES

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

THE CANOPY AT DUVAL STATION (NPI 1487412086) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Marisa Strain, Cco Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1487412086
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE CANOPY AT DUVAL STATION
Location Address1035 STARRATT RDJacksonville, FL 32218-6769
Mailing Address2573 Barrington CirTallahassee, FL 32308-6805 · (850) 712-5566
Phone(850) 712-5566
Organization SubpartNo
Authorized OfficialMarisa StrainCco Chief Clinical Officer · (185) 071-2556
Enumeration DateMarch 8, 2024
NPPES CertifiedMarch 8, 2024
✔ NPI 1487412086 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.
1035 STARRATT RD, Jacksonville, FL 32218
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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 10D2330038

The Canopy At Duval Station · Jacksonville, FL
Active · expires Sep 8, 2027
CLIA Number10D2330038
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorSharon Brown
Laboratory Phone(904) 734-0607
Laboratory LocationThe Canopy At Duval Station1035 Starratt Road, Jacksonville, FL 32218
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

LAUREN LOWELL
Occupational Therapist
1035 STARRATT RD
JACKSONVILLE, FL 32218
Duval County (850) 380-4594
LASHAWNDA JONES
Occupational Therapist
1035 STARRATT RD
JACKSONVILLE, FL 32218
Duval County (832) 506-3504

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 The Canopy At Duval Station's NPI number?

The NPI number for The Canopy At Duval Station is 1487412086. It was assigned to this organization in the NPPES registry on March 8, 2024.

Where is The Canopy At Duval Station located?

The Canopy At Duval Station is located at 1035 Starratt Rd, Jacksonville, FL 32218. The listed phone number is (850) 712-5566.

What is The Canopy At Duval Station's specialty?

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

Does The Canopy At Duval Station hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2330038) is associated with this NPI, valid through September 8, 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 The Canopy At Duval Station was last updated on March 8, 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.