Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY, LLC
NPI 1497688196
Homemaker in Lawtey, FL

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

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

Active since June 04, 2026

1410 NE 219TH ST, LAWTEY, FL 32058(904) 769-1122(206) 844-9037 Get Directions Write a Review

NPPES record added: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 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 1497688196) is a healthcare organization registered as a homemaker in Lawtey, Florida and active in the NPI registry since June 2026. The organization lists Nikita Jenkins, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497688196

Entity TypeOrganization

Primary Taxonomy376J00000X

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 · Fax (206) 844-9037

Phone(904) 769-1122

Fax(206) 844-9037

Organization SubpartYes

Authorized OfficialNikita JenkinsAdministrator · (904) 769-1122

Enumeration DateJune 4, 2026

NPPES CertifiedJune 4, 2026

✔ NPI 1497688196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHomemakerNursing Service Related Providers

Taxonomy Code376J00000X

Definition

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

1410 NE 219TH ST, Lawtey, FL 32058

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Assisted Living Facility

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 1497688196. It was assigned to this organization in the NPPES registry on June 4, 2026.

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 Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Young Hearts Extended Assisted Living Facility, LLC was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.