Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1415 Fort Clarke Blvd Tenant LLC

Organization Assisted Living Facility · NPI 1174351183

1415 Fort Clarke Blvd Tenant LLC is an Assisted Living Facility in Gainesville, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1415 Fort Clarke Blvd
Gainesville, FL 32606-7181
Phone: (352) 332-4505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Alzheimer Center (Dementia Center) Taxonomy 311500000X

Record details

NPI number1174351183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Makowsky — Authorized Representative · (419) 247-2800
Other names The Gables Of Gainesville
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address8415 E 21st St N Ste 100, Wichita, KS 67206-2959

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