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FOREST HILLS HOME AT PALM HARBOR
NPI 1710154604
Assisted Living Facility in Clearwater, FL

Active since May 10, 2008
2542 COUNTRYSIDE PINES DR, CLEARWATER, FL 33761(727) 934-4310(727) 943-2075 Get Directions Write a Review

NPPES record last updated: May 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Forest Hills Home At Palm Harbor NPPES

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

FOREST HILLS HOME AT PALM HARBOR (NPI 1710154604) is a healthcare organization registered as an assisted living facility in Clearwater, Florida and active in the NPI registry since May 2008. The organization lists Joanne Bock-ackerman, Alf Administrator, as its authorized official.

NPPES Registry Identity

NPI1710154604
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameJBA SVCS INC D/B/A IMMACULATE HOUSE AT COUNTRYSIDE
Location Address2542 COUNTRYSIDE PINES DRClearwater, FL 33761-4921
Mailing Address3823 Pendlebury DrPalm Harbor, FL 34685-2670 · (727) 934-4310 · Fax (727) 943-2075
Phone(727) 934-4310
Fax(727) 943-2075
Organization SubpartYesParent: Jba Svcs Inc D/b/a Forest Hills Home At Palm Harbor
Authorized OfficialJoanne Bock-ackermanAlf Administrator · (727) 934-4310
Enumeration DateMay 10, 2008
✔ NPI 1710154604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL 11233
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.
2542 COUNTRYSIDE PINES DR, Clearwater, FL 33761
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Other Names 1

Doing Business AsForest Hills Home At Palm Harbor

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 Jba Svcs Inc D/B/A Immaculate House At Countryside's NPI number?

The NPI number for Jba Svcs Inc D/B/A Immaculate House At Countryside is 1710154604. It was assigned to this organization in the NPPES registry on May 10, 2008. The provider is doing business as Forest Hills Home At Palm Harbor.

Where is Jba Svcs Inc D/B/A Immaculate House At Countryside located?

Jba Svcs Inc D/B/A Immaculate House At Countryside is located at 2542 Countryside Pines Dr, Clearwater, FL 33761. The listed phone number is (727) 934-4310.

What is Jba Svcs Inc D/B/A Immaculate House At Countryside'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 Jba Svcs Inc D/B/A Immaculate House At Countryside was last updated on May 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.