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

Premier Assisted Living Facility, LLC

Organization Assisted Living Facility · NPI 1962140210

Premier Assisted Living Facility, LLC is an Assisted Living Facility in Orange Park, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

319 Eldridge Ave
Orange Park, FL 32073-2956
Phone: (904) 541-4605
Fax: (904) 644-8378
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1962140210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashraf Andrawis — Owner · (904) 451-5570
NPI enumeratedMay 26, 2022
Last updated in NPPESMay 26, 2022
Certification dateMay 25, 2022
Mailing address138 Passage Dr, Fleming Island, FL 32003-8077

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