TROYANDJENNYENTERPRISES,INC (NPI# 1407292238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407292238 |
| Entity Type | Organization |
| Organization Name | TROYANDJENNYENTERPRISES,INC |
| Other Organization Name | SOUTHERNLIVINGFORSENIORS |
| Practice Address |
765 Ne Delphinium Dr Madison FL 32340-5412 |
| Practice Telephone | 8509736892 |
| Practice Fax Number | 8509731268 |
| Mailing Telephone | 8509736892 |
| Mailing Fax Number | 8509731268 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |
| Authorized Official Name | MRS. JENNIFER GRACE HENDRY (ADMINISTRATOR) |
| Authorized Official Telephone | 8509736892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL6020 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 688739200 | 05 |
| Other Name | Type Code |
|---|---|
| southernlivingforseniors | Doing Business As Name - Organization |
| Street Address |
765 NE DELPHINIUM DR |
| City | MADISON |
| State | FL |
| Zip Code | 32340-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962937359 | S&s Senior Housing of Madison LLC. | Assisted Living Facility | 765 Ne Delphinium Dr, Madison, FL 32340-5412 | 2017-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1730698051 | Judith Khristian Sever-johnson | Registered Nurse | 218 Sw Third Avenue, Madison, FL 32340 | 2017-09-29 |
| 1265800437 | Maria Anchondo | Dentist | Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 | 2015-09-04 |
| 1508106063 | Family First Wellness Clinic, LLC | Family Medicine | 486 Sw Rutledge Street, Madison, FL 32340 | 2013-02-20 |
| 1306032073 | North Florida Pharmacy of Madison Inc. | Durable Medical Equipment & Medical Supplies | 139 Sw Macon St, Madison, FL 32340 | 2007-09-17 |
| 1295949444 | Roderick K Shaw IIi Dmd Pa | Dentist | 255 Ne Duval Ave, Madison, FL 32340 | 2007-05-09 |
| 1124159728 | Duramed Medical Services | Physiological Laboratory | 289 Sw Range Ave, Ste D, Madison, FL 32340 | 2007-03-08 |
| 1861595514 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 407 East Base St, Madison, FL 32340 | 2006-09-07 |
| 1194701862 | Mos LLC | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340 | 2005-12-15 |
| 1699248203 | Katelynn Mae Croft | Licensed Practical Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| Find all providers in zip 32340 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558747 | Waymaker Enterprises, LLC | Assisted Living Facility | 204 Bradfield Rd, Madison, MS 39110-7035 | 2020-05-06 |
| 1073132684 | Hope Reality, LLC | Assisted Living Facility | 5510 Forge Dr, Madison, WI 53716-2454 | 2020-04-14 |
| 1184262164 | Stacey Daniels | Assisted Living Facility | 183 Se Columbus Trl, Madison, FL 32340-3100 | 2019-12-20 |
| 1376028332 | Charlotte F Kister | Assisted Living Facility | 2358 Hubbard Road, Madison, OH 44057 | 2018-09-26 |
| 1689041865 | Crystal Fountain Home Services LLC | Assisted Living Facility | 1912 N State Road 53, Madison, FL 32340-3947 | 2015-08-24 |
| 1659755809 | Madison Senior Living, Inc. | Assisted Living Facility | 705 Ziegler Rd, Madison, WI 53714-1339 | 2015-07-17 |
| 1740690171 | Florida Assistant Living Organization, LLC | Assisted Living Facility | 219 Se Abernathy Way, Madison, FL 32340-7044 | 2014-05-07 |
| 1720498215 | Florida Assistant Living Organization, LLC | Assisted Living Facility | 585 Se Lakeshore Dr, Madison, FL 32340-2734 | 2014-05-06 |
| 1902178643 | Madison House Assisted Living | Assisted Living Facility | 3910 Dixie Hwy, Madison, GA 30650-3431 | 2012-01-26 |
| 1043589799 | Grace Haven Assisted Living LLC | Assisted Living Facility | 301 E 3rd Street, Madison, MN 56256 | 2011-12-27 |
| Find all providers in MADISON | ||||
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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.