JACKSONVILLE OPCO, LLC
NPI 1821795428
Assisted Living Facility in Jacksonville, TX

Q: What is Jacksonville Opco, LLC's NPI number?

The NPI number for Jacksonville Opco, LLC is 1821795428. It was assigned to this organization in the NPPES registry on February 14, 2023. The provider is doing business as Angelina House.

Q: What is Jacksonville Opco, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since February 14, 2023

211 PHILIP ST, JACKSONVILLE, TX 75766(903) 589-1105 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacksonville Opco, Llc NPPES

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

JACKSONVILLE OPCO, LLC (NPI 1821795428), doing business as Angelina House, is a healthcare organization registered as an assisted living facility in Jacksonville, Texas and active in the NPI registry since February 2023. The organization lists Avi Elias, President, as its authorized official.

NPPES Registry Identity

NPI1821795428

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameJACKSONVILLE OPCO, LLC

Location Address211 PHILIP STJacksonville, TX 75766-5518

Mailing AddressPo Box 2568Hickory, NC 28603-2568 · (828) 270-0651

Phone(903) 589-1105

Organization SubpartNo

Authorized OfficialAvi EliasPresident · (727) 639-1419

Enumeration DateFebruary 14, 2023

NPPES CertifiedFebruary 14, 2023

✔ NPI 1821795428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

211 PHILIP ST, Jacksonville, TX 75766

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Other Names 1

Doing Business AsAngelina House

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 Jacksonville Opco, LLC's NPI number?

The NPI number for Jacksonville Opco, LLC is 1821795428. It was assigned to this organization in the NPPES registry on February 14, 2023. The provider is doing business as Angelina House.

Where is Jacksonville Opco, LLC located?

Jacksonville Opco, LLC is located at 211 Philip St, Jacksonville, TX 75766. The listed phone number is (903) 589-1105.

What is Jacksonville Opco, LLC'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 Jacksonville Opco, LLC was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.