MEDICARE: ISLF-DEERWOOD PLACE-JACKSONVILLE LLC

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	314000000X	Skilled Nursing Facility	SNF1467096	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548264096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ISLF-DEERWOOD PLACE-JACKSONVILLE LLC

Provider Business Mailing Address
First Line	:	1675 PALM BEACH LAKES BLVD
Second Line	:	SUITE 900
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401
Country	:	US
Telephone Number	:	561-801-7600
Fax Number	:	414-268-4811

Provider Business Practice Location Address
First Line	:	7130 SOUTHSIDE BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7086
Country	:	US
Telephone Number	:	904-642-7300
Fax Number	:	904-641-7977

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HOWARD JAFFE
Credential	:
Telephone Number	:	215-346-6454

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	08/09/2023

Similar Medicare Providers

1508491473 — SAFE STRIDES CONSULTING AND REMODELING LLC
Practice Location Address:

7086 PONCE DE LEON AVE APT 3
JACKSONVILLE, FL
32217-3140

Practice Phone: 786-226-4291
Practice Fax:

1366283301 — KIM CHI THI NGUYEN DNP
Practice Location Address:

2358 AZTEC DR W
JACKSONVILLE, FL
32246-7086

Practice Phone: 904-235-9340
Practice Fax:

1790820223 — WESTERN MAINE NURSING HOME INC
Practice Location Address:

3 MARKET SQ
SOUTH PARIS, ME
04281-1114

Practice Phone: 207-743-7086
Practice Fax: 207-539-6002

1669817797 — BLECKLEY NH, LLC
Practice Location Address:

601 6TH ST SE
COCHRAN, GA
31014-9534

Practice Phone: 478-934-7682
Practice Fax:

1497195051 — GREEN STREET NH LLC
Practice Location Address:

1011 S GREEN ST
THOMASTON, GA
30286-4643

Practice Phone: 706-647-6693
Practice Fax: 706-648-9255

1730529116 — PHNH LLC
Practice Location Address:

712 PATTERSON ST
BYROMVILLE, GA
31007-0263

Practice Phone: 478-433-5711
Practice Fax: 478-433-4016

Directions to “ISLF-DEERWOOD PLACE-JACKSONVILLE LLC ” 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.