Florida Southern Assisted Living LLC
NPI 1689916546 · Assisted Living Facility · Jacksonville, FL
Florida Southern Assisted Living LLC is a Assisted Living Facility organization in Jacksonville, FL (NPI 1689916546).
Provider details
- NPI number
- 1689916546
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Woodruff, Ceo(843) 571-5366
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
13 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
- Ingleside Retirement Home
Registry dates
- Enumerated
- 2013-03-19
- Last updated
- 2013-03-19
Frequently asked questions
- What is Florida Southern Assisted Living LLC's NPI number?
- Florida Southern Assisted Living LLC's National Provider Identifier (NPI) is 1689916546, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Florida Southern Assisted Living LLC?
- Florida Southern Assisted Living LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Florida Southern Assisted Living LLC located?
- Florida Southern Assisted Living LLC's practice location on file with NPPES is 1433 Ingleside Ave, Jacksonville, FL 32205-7712.
- What is Florida Southern Assisted Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Florida Southern Assisted Living LLC is (843) 571-5399.
- Who is the authorized official for Florida Southern Assisted Living LLC?
- The authorized official listed on Florida Southern Assisted Living LLC's NPPES record is Stephanie Woodruff, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Florida Southern Assisted Living LLC's NPI active?
- Yes — Florida Southern Assisted Living LLC's NPI (1689916546) is active in the NPPES registry as of the last update on 2013-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.