MR. RUSSELL WAYNE TOLLIVER
NPI 1972796175
Skilled Nursing Facility in Jacksonville, FL

Active since August 21, 2007
4083 SUNBEAM RD, APARTMENT 1409, JACKSONVILLE, FL 32257(904) 733-1338 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Russell Wayne Tolliver NPPES

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

MR. RUSSELL WAYNE TOLLIVER (NPI 1972796175) is an individual skilled nursing facility provider in Jacksonville, Florida and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1972796175
Entity TypeIndividualMale
Primary Taxonomy314000000X
Provider Legal NameMR. RUSSELL WAYNE TOLLIVER
Location Address4083 SUNBEAM RD, APARTMENT 1409Jacksonville, FL 32257-8993
Mailing Address4083 Sunbeam Rd, Apartment 1409Jacksonville, FL 32257-8993 · (904) 733-1338
Sole ProprietorYes
Enumeration DateAugust 21, 2007
NPI 1972796175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
4083 SUNBEAM RD, Jacksonville, FL 32257

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 Russell Tolliver's NPI number?

The NPI number for Russell Tolliver is 1972796175. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Where is Russell Tolliver located?

Russell Tolliver practices at 4083 Sunbeam Rd Apartment 1409, Jacksonville, FL 32257. The listed phone number is (904) 733-1338.

What is Russell Tolliver's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Russell Tolliver was last updated on August 21, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.