Healthcare Provider Details

I. General information

NPI: 1164383014
Provider Name (Legal Business Name): TAYLOR ALF OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6605 CHESTER AVE
JACKSONVILLE FL
32217-2252
US

IV. Provider business mailing address

6605 CHESTER AVE
JACKSONVILLE FL
32217-2252
US

V. Phone/Fax

Practice location:
  • Phone: 904-731-8230
  • Fax:
Mailing address:
  • Phone: 904-731-8230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEF CUKIER
Title or Position: MANAGING MEMBER
Credential:
Phone: 732-696-4899