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JUSTINA THREADGILL
NPI 1942624366
Assisted Living Facility in Daytona Beach, FL

Active since February 05, 2014
1312 MARDRAKE RD, DAYTONA BEACH, FL 32114(386) 257-2162 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justina Threadgill NPPES

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

JUSTINA THREADGILL (NPI 1942624366) is an individual assisted living facility provider in Daytona Beach, Florida, licensed in Florida (10287) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1942624366
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameJUSTINA THREADGILL
Location Address1312 MARDRAKE RDDaytona Beach, FL 32114-5940
Mailing Address1312 Mardrake RdDaytona Beach, FL 32114-5940 · (386) 257-2162
Phone(386) 257-2162
Sole ProprietorYes
Enumeration DateFebruary 5, 2014
✔ NPI 1942624366 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 · 10287
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.
1312 MARDRAKE RD, Daytona Beach, FL 32114
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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 Justina Threadgill's NPI number?

The NPI number for Justina Threadgill is 1942624366. It was assigned to this individual provider in the NPPES registry on February 5, 2014.

Where is Justina Threadgill located?

Justina Threadgill practices at 1312 Mardrake Rd, Daytona Beach, FL 32114. The listed phone number is (386) 257-2162.

What is Justina Threadgill'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 Justina Threadgill was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.