OrganizationActive
Live Love Life, Inc
NPI 1265034227 · Community Health Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1265034227
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Live Love Life, Inc
- Organization subpart
- Yes
- Authorized official
- Mark Walczyk, Chief Operating Officer(585) 233-0105
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
- Voluntary or Charitable Agency251V00000X
Agencies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1951 Boulevard
Jacksonville, FL 32206-3527
Phone: (904) 640-7954
Fax: (386) 272-7938
Street-level locationGet directions
Mailing address
1700 Ridgewood Ave
Holly Hill, FL 32117-1782
Other names (DBA / former)
- Doing business as
- Live Love Life, Jacksonville
Registry dates
- Enumerated
- 2020-11-13
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.