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

Young Hearts Extended Assisted Living Facility, LLC

Organization Homemaker · NPI 1497688196

Young Hearts Extended Assisted Living Facility, LLC is a Homemaker in Lawtey, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1410 NE 219th St
Lawtey, FL 32058-4387
Phone: (904) 769-1122
Fax: (206) 844-9037
Show map & directions

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

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X

Record details

NPI number1497688196
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationYoung Hearts Extended Assisted Living Facility, LLC
Authorized official Nikita Jenkins — Administrator · (904) 769-1122
NPI enumeratedJune 4, 2026
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address1410 Ne 219th St, Lawtey, FL 32058-4387