ST. PHILOMENA ASSISTED LIVING
NPI 1679966873
Assisted Living Facility - Assisted Living, Mental Illness in Orange Park, FL

Q: What is St. Philomena Assisted Living Facilities, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since March 11, 2015

3943 ELDRIDGE AVE, ORANGE PARK, FL 32073(904) 470-9965 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St. Philomena Assisted Living NPPES

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

ST. PHILOMENA ASSISTED LIVING (NPI 1679966873) is a healthcare organization registered as an assisted living, mental illness in Orange Park, Florida and active in the NPI registry since March 2015. The organization lists Phyllis Lashley Rodgers, Owner, as its authorized official.

NPPES Registry Identity

NPI1679966873

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameST. PHILOMENA ASSISTED LIVING FACILITIES, LLC

Location Address3943 ELDRIDGE AVEOrange Park, FL 32073-2128

Mailing Address5520 Kilkee CtJacksonville, FL 32244-6259 · (904) 470-9965

Phone(904) 470-9965

Organization SubpartNo

Authorized OfficialPhyllis Lashley RodgersOwner · (904) 470-9965

Enumeration DateMarch 11, 2015

✔ NPI 1679966873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in FL · AL12632

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

3943 ELDRIDGE AVE, Orange Park, FL 32073

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Other Names 1

Other NameSt. Philomena Assisted Living

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 St. Philomena Assisted Living Facilities, LLC's NPI number?

The NPI number for St. Philomena Assisted Living Facilities, LLC is 1679966873. It was assigned to this organization in the NPPES registry on March 11, 2015. The provider is also known as St. Philomena Assisted Living.

Where is St. Philomena Assisted Living Facilities, LLC located?

St. Philomena Assisted Living Facilities, LLC is located at 3943 Eldridge Ave, Orange Park, FL 32073. The listed phone number is (904) 470-9965.

What is St. Philomena Assisted Living Facilities, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for St. Philomena Assisted Living Facilities, LLC was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.