JUSTINA THREADGILL NPI 1942624366

NPI Information

  • NPI: 1942624366
  • Provider Name: JUSTINA THREADGILL
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Individual
  • Address: 1312 MARDRAKE RD
    DAYTONA BEACH, FL
    ZIP 32114
  • Phone: (386) 257-2162

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NPI Details

Justina Threadgill is an assisted living facility in Daytona Beach, 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. Justina Threadgill NPI is 1942624366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1312 MARDRAKE RD
DAYTONA BEACH, FL
ZIP 32114-940
Phone: (386) 257-2162

The enumeration date for this NPI number is 2/5/2014 and was last updated on 2/5/2014.

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 Facility10287FLORIDAYes

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

NPI Synchronization or Removal

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