OrganizationActive
Tiki Stafford
NPI 1225544208 · Assisted Living Facility · Jacksonville, FL
Provider details
- NPI number
- 1225544208
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tiki Stafford, Administrator(904) 233-1090
- License
- AL11951 (FL)
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
3225 N Myrtle Ave
Jacksonville, FL 32209-4231
Phone: (904) 233-1090
Street-level locationGet directions
Mailing address
3225 N Myrtle Ave
Jacksonville, FL 32209-4231
Other names (DBA / former)
- Doing business as
- Diversity Me
Registry dates
- Enumerated
- 2017-12-28
- Last updated
- 2017-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.