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A PREMIER LIVING CARE CENTER LLC
NPI 1700579265
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Active since May 31, 2023
1853 BROADWAY AVE, JACKSONVILLE, FL 32209(904) 485-0978 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About A Premier Living Care Center Llc NPPES

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

A PREMIER LIVING CARE CENTER LLC (NPI 1700579265) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, Florida and active in the NPI registry since May 2023. The organization lists Debra Avery, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700579265
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameA PREMIER LIVING CARE CENTER LLC
Location Address1853 BROADWAY AVEJacksonville, FL 32209-7507
Mailing Address4720 Salisbury RdJacksonville, FL 32256-6101 · (904) 485-0978
Phone(904) 485-0978
Organization SubpartNo
Authorized OfficialDebra AveryCeo · (904) 485-0978
Enumeration DateMay 31, 2023
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1700579265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1853 BROADWAY AVE, Jacksonville, FL 32209
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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 A Premier Living Care Center LLC's NPI number?

The NPI number for A Premier Living Care Center LLC is 1700579265. It was assigned to this organization in the NPPES registry on May 31, 2023.

Where is A Premier Living Care Center LLC located?

A Premier Living Care Center LLC is located at 1853 Broadway Ave, Jacksonville, FL 32209. The listed phone number is (904) 485-0978.

What is A Premier Living Care Center LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for A Premier Living Care Center LLC was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.