FREMONT ASSISTED LIVING
NPI 1831593383
Assisted Living Facility in Jacksonville, FL

Q: What is Fremont Assisted Living's NPI number?

The NPI number for Fremont Assisted Living is 1831593383. It was assigned to this organization in the NPPES registry on October 13, 2014.

Q: What is Fremont Assisted Living's specialty?

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

Active since October 13, 2014

2200 BAYVIEW RD, JACKSONVILLE, FL 32210(904) 800-2653(904) 800-2656 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fremont Assisted Living NPPES

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

FREMONT ASSISTED LIVING (NPI 1831593383) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since October 2014. The organization lists Angelus Gallo Pancho, Manager, as its authorized official.

NPPES Registry Identity

NPI1831593383

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFREMONT ASSISTED LIVING

Location Address2200 BAYVIEW RDJacksonville, FL 32210-4213

Mailing Address2200 Bayview RdJacksonville, FL 32210-4213 · (904) 800-2653 · Fax (904) 800-2656

Phone(904) 800-2653

Fax(904) 800-2656

Organization SubpartNo

Authorized OfficialAngelus Gallo PanchoManager · (904) 800-2653

Enumeration DateOctober 13, 2014

✔ NPI 1831593383 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 · AL12549

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.

2200 BAYVIEW RD, Jacksonville, FL 32210

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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 Fremont Assisted Living's NPI number?

The NPI number for Fremont Assisted Living is 1831593383. It was assigned to this organization in the NPPES registry on October 13, 2014.

Where is Fremont Assisted Living located?

Fremont Assisted Living is located at 2200 Bayview Rd, Jacksonville, FL 32210. The listed phone number is (904) 800-2653.

What is Fremont Assisted Living'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 Fremont Assisted Living was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.