ICONNECT JAX
NPI 1144860206
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Jacksonville, FL

Active since January 07, 2020
4372 SOUTHSIDE BLVD STE 203, JACKSONVILLE, FL 32216(904) 861-5771 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Iconnect Jax NPPES

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

ICONNECT JAX (NPI 1144860206) is a healthcare organization registered as an assisted living, behavioral disturbances in Jacksonville, Florida and active in the NPI registry since January 2020. The organization lists Amy Williams, Director, as its authorized official.

NPPES Registry Identity

NPI1144860206
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameICONNECT JAX
Location Address4372 SOUTHSIDE BLVD STE 203Jacksonville, FL 32216-8503
Mailing Address4372 Southside Blvd Ste 203Jacksonville, FL 32216-8503 · (904) 861-5771
Organization SubpartNo
Authorized OfficialAmy WilliamsDirector · (904) 861-5771
Enumeration DateJanuary 7, 2020
NPI 1144860206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

4372 SOUTHSIDE BLVD STE 203, Jacksonville, FL 32216

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 Iconnect Jax's NPI number?

The NPI number for Iconnect Jax is 1144860206. It was assigned to this organization in the NPPES registry on January 7, 2020.

Where is Iconnect Jax located?

Iconnect Jax is located at 4372 Southside Blvd Ste 203, Jacksonville, FL 32216. The listed phone number is (904) 861-5771.

What is Iconnect Jax's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Iconnect Jax was last updated on January 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.