OrganizationActive
Jacaranda Manor
NPI 1205834413 · Skilled Nursing Facility · Kenneth City, FL
Jacaranda Manor is a Skilled Nursing Facility organization in Kenneth City, FL (NPI 1205834413).
Provider details
- NPI number
- 1205834413
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Terri Walker, Administrator(727) 546-2405
- License
- SNF1252096 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
4250 66th St N
Kenneth City, FL 33709-4918
Phone: (727) 546-2405
Fax: (727) 541-5154
Street-level locationGet directions
Mailing address
4250 66th St N
Kenneth City, FL 33709-4918
Registry dates
- Enumerated
- 2005-07-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jacaranda Manor's NPI number?
- Jacaranda Manor's National Provider Identifier (NPI) is 1205834413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacaranda Manor?
- Jacaranda Manor is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Jacaranda Manor located?
- Jacaranda Manor's practice location on file with NPPES is 4250 66th St N, Kenneth City, FL 33709-4918.
- What is Jacaranda Manor's phone number?
- The practice phone number listed in the NPPES registry for Jacaranda Manor is (727) 546-2405.
- Who is the authorized official for Jacaranda Manor?
- The authorized official listed on Jacaranda Manor's NPPES record is Terri Walker, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacaranda Manor's NPI active?
- Yes — Jacaranda Manor's NPI (1205834413) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.