MEDICARE: SEAGRASS VILLAGE OF FLEMING ISLAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1457119059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEAGRASS VILLAGE OF FLEMING ISLAND

Provider Business Mailing Address
First Line	:	2573 BARRINGTON CIR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-6805
Country	:	US
Telephone Number	:	850-712-5566
Fax Number	:

Provider Business Practice Location Address
First Line	:	1949 EASTWEST PKWY
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-6403
Country	:	US
Telephone Number	:	850-712-5566
Fax Number	:

Authorized Official
Title or Position	:	CCO
Name	:	MARISA STRAIN
Credential	:	RN
Telephone Number	:	850-712-5566

Provider Enumeration Date	:	03/08/2024
Last Update Date	:	03/25/2024

Similar Medicare Providers

1710552047 — H2 REHABILITATION SERVICES OF FLORIDA, LLC
Practice Location Address:

1949 E. WEST PKWY STE 101
FLEMING ISLAND, FL
32003-6403

Practice Phone: 800-699-9395
Practice Fax:

1386135150 — OLA TANTAWY
Practice Location Address:

4546 HYLAN BLVD
STATEN ISLAND, NY
10312-6403

Practice Phone: 347-484-8287
Practice Fax:

1578770798 — MS. VICTORIA GAST HEEMSTRA MA
Practice Location Address:

6403 NE RALSTON RD
BAINBRIDGE ISLAND, WA
98110-1032

Practice Phone: 206-780-0423
Practice Fax:

1679860555 — DR. JENNIFER MARIE PUMAREJO D.M.D.
Practice Location Address:

4546 HYLAN BLVD
STATEN ISLAND, NY
10312-6403

Practice Phone: 718-948-5111
Practice Fax: 718-948-1932

1861981003 — TARMATTIE SINGH MS
Practice Location Address:

1747 BAPTIST CLAY DR STE 350
FLEMING ISLAND, FL
32003-8504

Practice Phone: 904-376-3800
Practice Fax: 904-390-7397

1598620437 — SARAH SHABAN
Practice Location Address:

2377 MARKET DR
FLEMING ISLAND, FL
32003-4326

Practice Phone: 904-579-4779
Practice Fax:

Directions to “SEAGRASS VILLAGE OF FLEMING ISLAND ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.