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LLIINGLESIDE RETIREMENT HOME
NPI 1740583293
Assisted Living Facility in Jacksonville, FL

Active since December 06, 2010
1433 INGLESIDE AVE, JACKSONVILLE, FL 32205(904) 389-6677(904) 389-7011 Get Directions Write a Review

NPPES record last updated: December 6, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lliingleside Retirement Home NPPES

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

LLIINGLESIDE RETIREMENT HOME (NPI 1740583293) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since December 2010. The organization lists Wajad Alli, President, as its authorized official.

NPPES Registry Identity

NPI1740583293
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLLIINGLESIDE RETIREMENT HOME
Location Address1433 INGLESIDE AVEJacksonville, FL 32205-7712
Mailing Address1433 Ingleside AveJacksonville, FL 32205-7712 · (904) 389-6677 · Fax (904) 389-7011
Phone(904) 389-6677
Fax(904) 389-7011
Organization SubpartNo
Authorized OfficialWajad AlliPresident · (904) 389-6677
Enumeration DateDecember 6, 2010
✔ NPI 1740583293 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 · AL5576
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 Identifiers 1

Medicaid001119000FL

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
FLORIDA SOUTHERN ASSISTED LIVING LLC
Assisted Living Facility
1433 INGLESIDE AVE
JACKSONVILLE, FL 32205
Duval County (843) 571-5399

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 Lliingleside Retirement Home's NPI number?

The NPI number for Lliingleside Retirement Home is 1740583293. It was assigned to this organization in the NPPES registry on December 6, 2010.

Where is Lliingleside Retirement Home located?

Lliingleside Retirement Home is located at 1433 Ingleside Ave, Jacksonville, FL 32205. The listed phone number is (904) 389-6677.

What is Lliingleside Retirement Home'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 Lliingleside Retirement Home was last updated on December 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.