THE TERRACE AT IVEY ACRES OF JAY (NPI# 1336418946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336418946 |
Entity Type | Organization |
Organization Name | THE TERRACE AT IVEY ACRES OF JAY |
Practice Address |
3964 Florida Ave Jay FL 32565 |
Practice Telephone | 8506754000 |
Practice Fax Number | 8506754001 |
Mailing Telephone | 8506754000 |
Mailing Fax Number | 8506754001 |
Enumeration Date | 2011-12-28 |
Last Update Date | 2011-12-28 |
Authorized Official Name | MR. JOSHUA C DURST (FINANCIAL OFFICER) |
Authorized Official Telephone | 8509955000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 12076 | FL | Nursing & Custodial Care Facilities |
Street Address |
3964 FLORIDA AVE |
City | JAY |
State | FL |
Zip Code | 32565 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982908497 | Dura-med Southeast Inc. | Durable Medical Equipment & Medical Supplies | 3877 Hwy 4, Jay, FL 32565 | 2010-12-28 |
1750416202 | Jay Pharmacy of Jay,fla Inc | Pharmacy | 14088 Ala St, Jay, FL 32565 | 2007-02-23 |
1356325963 | Edward Brian Jorgensen | Neuromusculoskeletal Medicine & OMM | 14114 Alabama St, Jay Hospital, Jay, FL 32565 | 2005-12-06 |
1114443520 | Alex Jones | Physical Therapist | 14114 Alabama St, Jay, FL 32565 | 2017-08-17 |
1588605059 | Gregory D Heaton | Optometrist | 14088 Alabama St, Jay, FL 32565 | 2006-06-08 |
1871546515 | Cleatious David Smith | Family Medicine | 14088 Alabama St, Jay, FL 32565 | 2006-05-17 |
1497710313 | John-stewart Michael Smith | Family Medicine | 14088 Alabama St, Jay, FL 32565-1036 | 2006-04-20 |
1407818313 | Marian Barraud Stewart | Pediatrics | 14088 Alabama Street, Jay, FL 32565-1036 | 2006-04-05 |
1700403854 | Equity Rx, Pllc | Pharmacy | 14088 Alabama St, Jay, FL 32565-1036 | 2020-07-05 |
1497014161 | J S Michael Smith Md Pa | Family Medicine | 14088 Alabama St, Jay, FL 32565-1036 | 2012-05-15 |
Find all providers in zip 32565 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | 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. |
Notes: [7/1/2003: new] |
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1689275372 | Loving Family Senior Care, LLC | Assisted Living Facility | 2323 Nw 34th St, Miami, FL 33142-5307 | 2020-11-08 |
1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
1982205787 | Pd & Sr, L.L.C. | Assisted Living Facility | 730 Frisco St Se, Palm Bay, FL 32909-3711 | 2020-11-06 |
1982205019 | Cantillo Love & Care LLC | Assisted Living Facility | 1045 W 23rd St, Hialeah, FL 33010-1922 | 2020-11-04 |
1194326728 | Bliss Life Residential Care | Assisted Living Facility | 402 Arthur Ave, Lehigh Acres, FL 33936-7412 | 2020-11-02 |
1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
1417556028 | 5081 Cambridge LLC | Assisted Living Facility | 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 | 2020-10-23 |
1134728926 | Pacifica Lauderhill LLC | Assisted Living Facility | 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 | 2020-10-22 |
1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.