OrganizationActive
Jacksonville Extended Care, LLC
NPI 1700855939 · Skilled Nursing Facility · Jacksonville, FL
Provider details
- NPI number
- 1700855939
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Donna Marsh, Bookkeeper(380) 255-1054
- License
- 130471028 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
4325 Southpoint Blvd
Jacksonville, FL 32216-6166
Phone: (904) 245-7620
Fax: (904) 281-9956
Street-level locationGet directions
Mailing address
4325 Southpoint Blvd
Jacksonville, FL 32216-6166
Other names (DBA / former)
- Doing business as
- Southpoint Terrace
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2012-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.