JRA ADULT FAMILY CARE HOME
NPI 1740915024
Custodial Care Facility - Adult Care Home in Palm Coast, FL

Active since July 20, 2022
41 WOODLAWN DR, PALM COAST, FL 32164(386) 931-9871 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About JRA ADULT FAMILY CARE HOME

This page provides the complete NPI Profile along with additional information for Jra Adult Family Care Home, a provider established in Palm Coast, Florida operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1740915024 assigned on July 2022. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Joseph Alex Apollon (Owner, Administrator)

NPI
1740915024 Verify this NPI
Provider Name
JRA ADULT FAMILY CARE HOME
Entity Type
Organization
Location Address
41 WOODLAWN DR PALM COAST, FL 32164
Location Phone
(386) 931-9871
Mailing Address
41 WOODLAWN DR PALM COAST, FL 32164
Mailing Phone
(386) 931-9871
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2022
Last Update Date
07-20-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSEPH ALEX APOLLON

Authorized Official Title
OWNER, ADMINISTRATOR
Authorized Official Phone
(386) 931-9871

Reviews for JRA ADULT FAMILY CARE HOME

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
41 WOODLAWN DR
PALM COAST, FL 32164
Custodial Care Facility (Adult Care Home)
41 WOODLAWN DR
PALM COAST, FL 32164

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740915024, enumerated as an "organization" on July 20, 2022.

The provider is located at 41 WOODLAWN DR PALM COAST, FL 32164 and the phone number is (386) 931-9871.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.