Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

FANTASTIC GARDENS ASSISTED LIVING LLC DBA FANTASTIC GARDENS HOME HEALTHCARE
NPI 1760381917
Licensed Practical Nurse in Orange Park, FL

Q: What is Fantastic Gardens Assisted Living LLC Dba Fantastic Gardens Home Healthcare's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since November 03, 2026

153 BLANDING BLVD STE 4, ORANGE PARK, FL 32073(904) 372-3736 Get Directions Write a Review

NPPES record added: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Fantastic Gardens Assisted Living Llc Dba Fantastic Gardens Home Healthcare NPPES

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

FANTASTIC GARDENS ASSISTED LIVING LLC DBA FANTASTIC GARDENS HOME HEALTHCARE (NPI 1760381917) is a healthcare organization registered as a licensed practical nurse in Orange Park, Florida and active in the NPI registry since November 2026. The organization lists Sherry S Johnson, Lpn/administrator, as its authorized official.

NPPES Registry Identity

NPI1760381917

Entity TypeOrganization

Primary Taxonomy164W00000X

Legal Business NameFANTASTIC GARDENS ASSISTED LIVING LLC DBA FANTASTIC GARDENS HOME HEALTHCARE

Location Address153 BLANDING BLVD STE 4Orange Park, FL 32073-2613

Mailing Address153 Blanding Blvd Ste 4Orange Park, FL 32073-2613 · (904) 372-3736

Phone(904) 372-3736

Organization SubpartYes

Authorized OfficialSherry S JohnsonLpn/administrator · (904) 554-0369

Enumeration DateNovember 3, 2026

NPPES CertifiedNovember 3, 2026

✔ NPI 1760381917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

153 BLANDING BLVD STE 4, Orange Park, FL 32073

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Fantastic Gardens Assisted Living LLC Dba Fantastic Gardens Home Healthcare's NPI number?

The NPI number for Fantastic Gardens Assisted Living LLC Dba Fantastic Gardens Home Healthcare is 1760381917. It was assigned to this organization in the NPPES registry on November 3, 2026.

Where is Fantastic Gardens Assisted Living LLC Dba Fantastic Gardens Home Healthcare located?

Fantastic Gardens Assisted Living LLC Dba Fantastic Gardens Home Healthcare is located at 153 Blanding Blvd Ste 4, Orange Park, FL 32073. The listed phone number is (904) 372-3736.

What is Fantastic Gardens Assisted Living LLC Dba Fantastic Gardens Home Healthcare's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Fantastic Gardens Assisted Living LLC Dba Fantastic Gardens Home Healthcare was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.