1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Assisted Living Facility
  6. NPI Profile

MRS. LANISHA J HOLLOWAY
NPI 1497039143
Assisted Living Facility in Jacksonville, FL

Active since September 29, 2011
5022 PERRINE DR, JACKSONVILLE, FL 32210(904) 772-0651(904) 438-5726 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lanisha J Holloway NPPES

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

MRS. LANISHA J HOLLOWAY (NPI 1497039143) is an individual assisted living facility provider in Jacksonville, Florida, licensed in Florida (12059) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1497039143
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameMRS. LANISHA J HOLLOWAY
Location Address5022 PERRINE DRJacksonville, FL 32210-7859
Mailing Address8225 Leafcrest DrJacksonville, FL 32244-7493 · (904) 210-2685 · Fax (904) 438-5726
Phone(904) 772-0651
Fax(904) 438-5726
Sole ProprietorYes
Enumeration DateSeptember 29, 2011
Last NPPES UpdateOctober 6, 2011
✔ NPI 1497039143 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 · 12059
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.
5022 PERRINE DR, Jacksonville, FL 32210
Open in Google Maps ↗

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 Lanisha Holloway's NPI number?

The NPI number for Lanisha Holloway is 1497039143. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Lanisha Holloway located?

Lanisha Holloway practices at 5022 Perrine Dr, Jacksonville, FL 32210. The listed phone number is (904) 772-0651.

What is Lanisha Holloway'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 Lanisha Holloway was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.