Healthcare Provider Details

I. General information

NPI: 1932103637
Provider Name (Legal Business Name): SENIOR HEALTH-FIRST COAST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7723 JASPER AVE
JACKSONVILLE FL
32211-7719
US

IV. Provider business mailing address

1675 PALM BEACH LAKES BLVD SUITE 900
WEST PALM BEACH FL
33401
US

V. Phone/Fax

Practice location:
  • Phone: 904-725-8044
  • Fax: 904-721-3193
Mailing address:
  • Phone: 661-801-7600
  • Fax: 414-368-4213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1150096
License Number StateFL

VIII. Authorized Official

Name: HOWARD DILLON JAFFE
Title or Position: PRESIDENT
Credential:
Phone: 215-346-6454