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LARUE ESTATES
NPI 1124533948
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Active since December 04, 2017
8426 DELAWARE AVE, JACKSONVILLE, FL 32208(904) 370-3575(904) 683-0147 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larue Estates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARUE ESTATES (NPI 1124533948) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, Florida and active in the NPI registry since December 2017. The organization lists Johnel Griggs, Owner, as its authorized official.

NPPES Registry Identity

NPI1124533948
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameLARUE ESTATES
Location Address8426 DELAWARE AVEJacksonville, FL 32208-2841
Mailing Address8426 Delaware AveJacksonville, FL 32208-2841 · (904) 370-3575 · Fax (904) 683-0147
Phone(904) 370-3575
Fax(904) 683-0147
Organization SubpartNo
Authorized OfficialJohnel GriggsOwner · (904) 370-3575
Enumeration DateDecember 4, 2017
✔ NPI 1124533948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
8426 DELAWARE AVE, Jacksonville, FL 32208
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Other Names 1

Doing Business AsLarue Estates

Other Identifiers 1

Medicaid1508222076FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larue Estates's NPI number?

The NPI number for Larue Estates is 1124533948. It was assigned to this organization in the NPPES registry on December 4, 2017.

Where is Larue Estates located?

Larue Estates is located at 8426 Delaware Ave, Jacksonville, FL 32208. The listed phone number is (904) 370-3575.

What is Larue Estates's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Larue Estates was last updated on December 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.