VERNELL KING ENTERPRISE LLC
NPI 1508759176
Assisted Living Facility in Jacksonville, FL

Active since June 02, 2025
1100 KINGS RD UNIT 2785, JACKSONVILLE, FL 32203(561) 358-2049 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About VERNELL KING ENTERPRISE LLC

This page provides the complete NPI Profile along with additional information for Vernell King Enterprise Llc, a provider established in Jacksonville, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1508759176 assigned on June 2025. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Vernell King Phd (Owner)

NPI
1508759176 Verify this NPI
Provider Name
VERNELL KING ENTERPRISE LLC
Entity Type
Organization
Location Address
1100 KINGS RD UNIT 2785 JACKSONVILLE, FL 32203
Location Phone
(561) 358-2049
Mailing Address
1100 KINGS RD UNIT 2785 JACKSONVILLE, FL 32203
Mailing Phone
(904) 467-0737
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2025
Last Update Date
06-02-2025
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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

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. VERNELL KING PHD

Authorized Official Title
OWNER
Authorized Official Phone
(561) 358-2049

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508759176, enumerated as an "organization" on June 02, 2025.

The provider is located at 1100 KINGS RD UNIT 2785 JACKSONVILLE, FL 32203 and the phone number is (561) 358-2049.

Assisted Living Facility with taxonomy code 310400000X.