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SAN JUAN RETIREMENT HOME
NPI 1891032868
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Jacksonville, FL

Active since January 11, 2013
6561 SAN JUAN AVE, JACKSONVILLE, FL 32210(904) 695-9605(904) 693-1973 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Juan Retirement Home NPPES

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

SAN JUAN RETIREMENT HOME (NPI 1891032868) is a healthcare organization registered as an assisted living, behavioral disturbances in Jacksonville, Florida and active in the NPI registry since January 2013. The organization lists Elvira Demdam, Alf Administrator, as its authorized official.

NPPES Registry Identity

NPI1891032868
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameSAN JUAN RETIREMENT HOME
Location Address6561 SAN JUAN AVEJacksonville, FL 32210-2857
Mailing Address6561 San Juan AveJacksonville, FL 32210-2857 · (904) 695-9605 · Fax (904) 693-1973
Phone(904) 695-9605
Fax(904) 693-1973
Organization SubpartNo
Authorized OfficialElvira DemdamAlf Administrator · (904) 695-9605
Enumeration DateJanuary 11, 2013
✔ NPI 1891032868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
License✔ Licensed in FL · 9587
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
6561 SAN JUAN AVE, Jacksonville, FL 32210
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Other Providers at the Same Location NPPES 4

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

SAN JUAN RETIREMENT HOME
Alzheimer Center (Dementia Center)
6561 SAN JUAN AVE
JACKSONVILLE, FL 32210
Duval County (904) 695-9605
NOBLE HOUSE RETIREMENT OF JACKSONVILLE
Assisted Living Facility
6561 SAN JUAN AVE
JACKSONVILLE, FL 32210
Duval County (904) 695-9605
MS. VICKI LORAYNE SELLNER O.T.R.
Occupational Therapist
6561 SAN JUAN AVE
JACKSONVILLE, FL 32210
Duval County (904) 695-9605
NOBLE HOUSE SENIOR LIVING, LLC
Assisted Living Facility
6561 SAN JUAN AVE
JACKSONVILLE, FL 32210
Duval County (727) 697-9920

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 San Juan Retirement Home's NPI number?

The NPI number for San Juan Retirement Home is 1891032868. It was assigned to this organization in the NPPES registry on January 11, 2013.

Where is San Juan Retirement Home located?

San Juan Retirement Home is located at 6561 San Juan Ave, Jacksonville, FL 32210. The listed phone number is (904) 695-9605.

What is San Juan Retirement Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for San Juan Retirement Home was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.