OrganizationActive
Anthem Lakes
NPI 1093222515 · Assisted Living Facility · Jacksonville, FL
Provider details
- NPI number
- 1093222515
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Johnpaul Goode, Operations Liaison(804) 839-6946
- License
- 12972
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
905 Assisi Ln
Jacksonville, FL 32233-2972
Phone: (904) 746-7220
Street-level locationGet directions
Mailing address
905 Assisi Ln
Jacksonville, FL 32233-2972
Registry dates
- Enumerated
- 2018-01-05
- Last updated
- 2018-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.