OrganizationActive
Young Hearts Extended Assisted Living Facility, LLC
NPI 1518723535 · Assisted Living Facility · Starke, FL
Provider details
- NPI number
- 1518723535
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Young Hearts Extended Assisted Living Facility LLC
- Organization subpart
- Yes
- Authorized official
- Nikita Jenkins, Administrator(904) 769-1122
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
329 N Church St
Starke, FL 32091-3434
Phone: (904) 769-1122
Fax: (206) 844-9037
Approximate (ZIP-level) locationGet directions
Mailing address
1410 Ne 219th St
Lawtey, FL 32058-4387
Other names (DBA / former)
- Doing business as
- Young Hearts Extended Assisted Living Facility II
Registry dates
- Enumerated
- 2024-02-27
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.