MEDICARE: A PREMIER LIVING CARE CENTER 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1700579265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PREMIER LIVING CARE CENTER LLC

Provider Business Mailing Address
First Line	:	4720 SALISBURY RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6101
Country	:	US
Telephone Number	:	904-485-0978
Fax Number	:

Provider Business Practice Location Address
First Line	:	1853 BROADWAY AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-7507
Country	:	US
Telephone Number	:	904-485-0978
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DEBRA AVERY
Credential	:
Telephone Number	:	904-485-0978

Provider Enumeration Date	:	05/31/2023
Last Update Date	:	10/15/2025

Similar Medicare Providers

1649220419 — MISS JENNIFER ANNE MORRELL APRN
Practice Location Address:

12987 WINTHROP COVE DR
JACKSONVILLE, FL
32224-7507

Practice Phone: 904-234-3484
Practice Fax:

1831413616 — MR. RASHEED ABDULLAH CAP
Practice Location Address:

7507 BEACH BLVD APT 1402
JACKSONVILLE, FL
32216-3033

Practice Phone: 904-982-8385
Practice Fax:

1235955188 — HEALTH AND HEALING LLC
Practice Location Address:

7507 HILSDALE RD
JACKSONVILLE, FL
32216-2300

Practice Phone: 904-422-6520
Practice Fax:

1427148030 — DR. LEIGH ANNE NEUMAYER MD
Practice Location Address:

653 W 8TH ST
JACKSONVILLE, FL
32209-6511

Practice Phone: 904-383-1015
Practice Fax: 904-244-7454

1093151607 — DR. HADIA MARIE LEON M.D.
Practice Location Address:

655 W 8TH ST
JACKSONVILLE, FL
32209-6511

Practice Phone: 904-244-3498
Practice Fax: 904-244-3188

1336828433 — MS. DANA TIMAR PNP-AC
Practice Location Address:

910 N JEFFERSON ST
JACKSONVILLE, FL
32209-6810

Practice Phone: 904-244-2121
Practice Fax:

Directions to “A PREMIER LIVING CARE CENTER 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.