YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY, LLC
NPI 1497219133
Assisted Living Facility in Lawtey, FL

Q: What is Young Hearts Extended Assisted Living Facility, LLC's specialty?

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

Active since January 28, 2019

1410 NE 219TH ST, LAWTEY, FL 32058(904) 769-1122 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Young Hearts Extended Assisted Living Facility, Llc NPPES

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

YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY, LLC (NPI 1497219133) is a healthcare organization registered as an assisted living facility in Lawtey, Florida and active in the NPI registry since January 2019. The organization lists Nikita Latrice Jenkins, Rn/administrator, as its authorized official.

NPPES Registry Identity

NPI1497219133

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameYOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY, LLC

Location Address1410 NE 219TH STLawtey, FL 32058-4387

Mailing Address1410 Ne 219th StLawtey, FL 32058-4387 · (904) 769-1122

Phone(904) 769-1122

Organization SubpartNo

Authorized OfficialNikita Latrice JenkinsRn/administrator · (904) 769-1122

Enumeration DateJanuary 28, 2019

✔ NPI 1497219133 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.

1410 NE 219TH ST, Lawtey, FL 32058

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Other Providers at the Same Location NPPES 3

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

NIKITA L JENKINS BSN, RN, RN-BC

Registered Nurse (Psychiatric/Mental Health)

1410 NE 219TH ST
LAWTEY, FL 32058

Bradford County (904) 769-1122

YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY, LLC

Homemaker

1410 NE 219TH ST
LAWTEY, FL 32058

Bradford County (904) 769-1122

YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY, LLC

Homemaker

1410 NE 219TH ST
LAWTEY, FL 32058

Bradford County (904) 769-1122

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 Young Hearts Extended Assisted Living Facility, LLC's NPI number?

The NPI number for Young Hearts Extended Assisted Living Facility, LLC is 1497219133. It was assigned to this organization in the NPPES registry on January 28, 2019.

Where is Young Hearts Extended Assisted Living Facility, LLC located?

Young Hearts Extended Assisted Living Facility, LLC is located at 1410 NE 219th St, Lawtey, FL 32058. The listed phone number is (904) 769-1122.

What is Young Hearts Extended Assisted Living Facility, LLC'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 Young Hearts Extended Assisted Living Facility, LLC was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.