PARKSIDE ASSISTED LIVING NPI 1629405097

NPI Information

  • NPI: 1629405097
  • Provider Name: PARKSIDE ASSISTED LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 329 N CHURCH ST
    STARKE, FL
    ZIP 32091
  • Phone: (904) 964-2220

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NPI Details

PARKSIDE ASSISTED LIVING is an assisted living facility in Starke, FL. 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. PARKSIDE ASSISTED LIVING NPI is 1629405097. The provider is registered as an organization entity type.

The provider's business location address is:

329 N CHURCH ST
STARKE, FL
ZIP 32091-434
Phone: (904) 964-2220
Fax: (904) 964-2220

The provider's authorized official is Cathey T Pitts .
The authorized official title is Administrator and has the following contact phone number (904) 964-2220.

The enumeration date for this NPI number is 10/1/2013 and was last updated on 10/1/2013.

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 FacilityAL10278FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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