NORTH FLORIDA SENIOR LIVING LLC
NPI 1730711219
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Callahan, FL

Q: What is North Florida Senior Living LLC's NPI number?

The NPI number for North Florida Senior Living LLC is 1730711219. It was assigned to this organization in the NPPES registry on February 12, 2020.

Q: What is North Florida Senior Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Active since February 12, 2020

541103 LEM TURNER RD, CALLAHAN, FL 32011(904) 635-6081 Get Directions Write a Review

NPPES record last updated: February 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2021, Feb 12, 2020 (2 updates tracked since 2020).

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About North Florida Senior Living Llc NPPES

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

NORTH FLORIDA SENIOR LIVING LLC (NPI 1730711219) is a healthcare organization registered as an assisted living, behavioral disturbances in Callahan, Florida and active in the NPI registry since February 2020. The organization lists Evgeny Chernyak, Vice President, as its authorized official.

NPPES Registry Identity

NPI1730711219

Entity TypeOrganization

Primary Taxonomy3104A0630X

Legal Business NameNORTH FLORIDA SENIOR LIVING LLC

Location Address541103 LEM TURNER RDCallahan, FL 32011-8546

Mailing Address614 Bowles CtNeptune Beach, FL 32266-3602 · (904) 635-6081

Phone(904) 635-6081

Organization SubpartNo

Authorized OfficialEvgeny ChernyakVice President · (904) 635-6081

Enumeration DateFebruary 12, 2020

Last NPPES UpdateFebruary 6, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2021

✔ NPI 1730711219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

541103 LEM TURNER RD, Callahan, FL 32011

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Other Names 1

Former Legal Business NameNorth Florida Senior Living Llc

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 North Florida Senior Living LLC's NPI number?

The NPI number for North Florida Senior Living LLC is 1730711219. It was assigned to this organization in the NPPES registry on February 12, 2020.

Where is North Florida Senior Living LLC located?

North Florida Senior Living LLC is located at 541103 Lem Turner Rd, Callahan, FL 32011. The listed phone number is (904) 635-6081.

What is North Florida Senior Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for North Florida Senior Living LLC was last updated on February 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.