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IVAN MALDONADO
NPI 1952714404
Assisted Living Facility - Assisted Living, Mental Illness in Jacksonville, FL

Active since June 03, 2014
6320 ARLINGTON RD, JACKSONVILLE, FL 32211(904) 743-9069(904) 743-3584 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivan Maldonado NPPES

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

IVAN MALDONADO (NPI 1952714404) is an individual assisted living, mental illness provider in Jacksonville, Florida, licensed in Florida (AL8958) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1952714404
Entity TypeIndividualMale
Primary Taxonomy3104A0625X
Provider Legal NameIVAN MALDONADO
Location Address6320 ARLINGTON RDJacksonville, FL 32211-5430
Mailing Address6320 Arlington RdJacksonville, FL 32211-5430 · (904) 743-9069 · Fax (904) 743-3584
Phone(904) 743-9069
Fax(904) 743-3584
Sole ProprietorYes
Enumeration DateJune 3, 2014
✔ NPI 1952714404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License✔ Licensed in FL · AL8958
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
6320 ARLINGTON RD, Jacksonville, FL 32211
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Other Identifiers 1

Medicaid141157800FL

Other Providers at the Same Location NPPES

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

ARLINGTON HAVEN
Assisted Living Facility (Assisted Living, Mental Illness)
6320 ARLINGTON RD
JACKSONVILLE, FL 32211
Duval County (904) 743-9069

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 Ivan Maldonado's NPI number?

The NPI number for Ivan Maldonado is 1952714404. It was assigned to this individual provider in the NPPES registry on June 3, 2014.

Where is Ivan Maldonado located?

Ivan Maldonado practices at 6320 Arlington Rd, Jacksonville, FL 32211. The listed phone number is (904) 743-9069.

What is Ivan Maldonado's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Ivan Maldonado was last updated on June 3, 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.