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INGLESIDE RETIREMENT HOME
NPI 1689916546
Assisted Living Facility in Jacksonville, FL

Active since March 19, 2013
1433 INGLESIDE AVE, JACKSONVILLE, FL 32205(843) 571-5399(843) 571-5659 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ingleside Retirement Home NPPES

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

INGLESIDE RETIREMENT HOME (NPI 1689916546) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since March 2013. The organization lists Stephanie Woodruff, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689916546
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFLORIDA SOUTHERN ASSISTED LIVING LLC
Location Address1433 INGLESIDE AVEJacksonville, FL 32205-7712
Mailing Address1019 Physicians DrCharleston, SC 29414-5746 · (843) 571-5366 · Fax (843) 571-5659
Phone(843) 571-5399
Fax(843) 571-5659
Organization SubpartNo
Authorized OfficialStephanie WoodruffCeo · (843) 571-5366
Enumeration DateMarch 19, 2013
✔ NPI 1689916546 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.
1433 INGLESIDE AVE, Jacksonville, FL 32205
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Other Names 1

Doing Business AsIngleside Retirement Home

Other Providers at the Same Location NPPES 2

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

INGLESIDE ALF HOME LLC
Assisted Living Facility
1433 INGLESIDE AVE
JACKSONVILLE, FL 32205
Duval County (904) 686-0102
LLIINGLESIDE RETIREMENT HOME
Assisted Living Facility
1433 INGLESIDE AVE
JACKSONVILLE, FL 32205
Duval County (904) 389-6677

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 Florida Southern Assisted Living LLC's NPI number?

The NPI number for Florida Southern Assisted Living LLC is 1689916546. It was assigned to this organization in the NPPES registry on March 19, 2013. The provider is doing business as Ingleside Retirement Home.

Where is Florida Southern Assisted Living LLC located?

Florida Southern Assisted Living LLC is located at 1433 Ingleside Ave, Jacksonville, FL 32205. The listed phone number is (843) 571-5399.

What is Florida Southern Assisted Living 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 Florida Southern Assisted Living LLC was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.