Life Care Ponte Vedra Inc
NPI 1578573499 · Skilled Nursing Facility · Ponte Vedra Beach, FL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Care Ponte Vedra Inc is a Skilled Nursing Facility organization in Ponte Vedra Beach, FL (NPI 1578573499).
Provider details
- NPI number
- 1578573499
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Raymond Johnson, Executive Director(904) 273-1701
- License
- 1574095 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Vicars Landing
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2009-04-13
Frequently asked questions
- What is Life Care Ponte Vedra Inc's NPI number?
- Life Care Ponte Vedra Inc's National Provider Identifier (NPI) is 1578573499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Care Ponte Vedra Inc?
- Life Care Ponte Vedra Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Life Care Ponte Vedra Inc located?
- Life Care Ponte Vedra Inc's practice location on file with NPPES is 1003 York Rd, Ponte Vedra Beach, FL 32082.
- What is Life Care Ponte Vedra Inc's phone number?
- The practice phone number listed in the NPPES registry for Life Care Ponte Vedra Inc is (904) 285-1055.
- Does Life Care Ponte Vedra Inc accept Medicare?
- Life Care Ponte Vedra Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Life Care Ponte Vedra Inc?
- The authorized official listed on Life Care Ponte Vedra Inc's NPPES record is Raymond Johnson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Care Ponte Vedra Inc's NPI active?
- Yes — Life Care Ponte Vedra Inc's NPI (1578573499) is active in the NPPES registry as of the last update on 2009-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.