JACKSONVILLE I ENTERPRISES LLC NPI 1053690818

NPI Information

  • NPI: 1053690818
  • Provider Name: JACKSONVILLE I ENTERPRISES LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: THE TRINITY ASSISTED LIVING OF JACKSONVILLE
  • Address: 131 ZIMMERMAN DR.
    JACKSONVILLE, TX
    ZIP 75766
  • Phone: (903) 283-1208

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NPI Details

JACKSONVILLE I ENTERPRISES LLC is an assisted living facility in Jacksonville, TX. The provider is 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. JACKSONVILLE I ENTERPRISES LLC NPI is 1053690818. The provider is registered as an organization entity type.
The provider Is Doing Business As The Trinity Assisted Living Of Jacksonville.

The provider's business location address is:

131 ZIMMERMAN DR.
JACKSONVILLE, TX
ZIP 75766-131
Phone: (903) 283-1208
Fax: (845) 770-3308

The provider's authorized official is Gary Blake .
The authorized official title is Managing Member and has the following contact phone number (817) 348-8841.

The enumeration date for this NPI number is 8/11/2011 and was last updated on 8/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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