Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jacaranda Manor

Organization Skilled Nursing Facility · NPI 1205834413

Jacaranda Manor is a Skilled Nursing Facility in Kenneth City, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005

Practice location Address checks out

4250 66th St N
Kenneth City, FL 33709-4918
Phone: (727) 546-2405
Fax: (727) 541-5154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence SNF1252096 (FL)

Record details

NPI number1205834413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Walker — Administrator · (727) 546-2405
NPI enumeratedJuly 12, 2005
Last updated in NPPESAugust 22, 2020
Mailing address4250 66th St N, Kenneth City, FL 33709-4918

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Kenneth City