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HAGAN ASSISTED LIVING FACILITY
NPI 1801031638
Assisted Living Facility in Jacksonville, FL

Active since December 08, 2008
3104 W 12TH ST, JACKSONVILLE, FL 32254(904) 382-3655 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hagan Assisted Living Facility NPPES

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

HAGAN ASSISTED LIVING FACILITY (NPI 1801031638) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since December 2008. The organization lists Sharon Mcintyre, President, as its authorized official.

NPPES Registry Identity

NPI1801031638
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHAGAN ASSISTED LIVING FACILITY
Location Address3104 W 12TH STJacksonville, FL 32254-1808
Mailing Address3104 W 12th StJacksonville, FL 32254-1808 · (904) 382-3655
Phone(904) 382-3655
Organization SubpartNo
Authorized OfficialSharon McintyrePresident · (904) 382-3655
Enumeration DateDecember 8, 2008
✔ NPI 1801031638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL10746
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.
Also ListedRespite CareTaxonomy 385H00000X · License AL10746 (FL)
3104 W 12TH ST, Jacksonville, FL 32254
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Other Identifiers 1

Medicaid11100FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHANNON E TILLMAN CMA
Adult Companion
3104 W 12TH ST
JACKSONVILLE, FL 32254
Duval County (413) 686-2639

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 Hagan Assisted Living Facility's NPI number?

The NPI number for Hagan Assisted Living Facility is 1801031638. It was assigned to this organization in the NPPES registry on December 8, 2008.

Where is Hagan Assisted Living Facility located?

Hagan Assisted Living Facility is located at 3104 W 12th St, Jacksonville, FL 32254. The listed phone number is (904) 382-3655.

What is Hagan Assisted Living Facility'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 Hagan Assisted Living Facility was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.