Organization · Type 2 NPI

Young Hearts Extended Assisted Living Facility, LLC

Assisted Living Facility · Starke, FL

NPI number 1518723535 Active

Practice location

329 N Church St
Starke, FL 32091-3434

Call (904) 769-1122 Map

Fax (206) 844-9037

Mailing address

1410 NE 219th St
Lawtey, FL 32058-4387

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: 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.

2 other providers at this address

Other assisted living facility providers in Starke

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NPI record

NPI: 1518723535
Entity type: Organization (Type 2)
Issued: Feb 27, 2024
Last updated: Feb 27, 2024
Status: Active
Subpart: Yes of Young Hearts Extended Assisted Living Facility LLC

Other names

Young Hearts Extended Assisted Living Facility II · doing business as

Authorized official

Ms. Nikita L Jenkins, RN
Administrator
(904) 769-1122

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1518723535

Young Hearts Extended Assisted Living Facility, LLC's National Provider Identifier is 1518723535, issued on Feb 27, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Starke, FL. The record was last updated on Feb 27, 2024.