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FIRST COAST COMMUNITY SUPPORT SERVICES
NPI 1184296832
Community/Behavioral Health in Jacksonville, FL

Active since July 13, 2021
5300 SAN JUAN AVE, JACKSONVILLE, FL 32210(904) 738-8579(904) 619-7835 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About First Coast Community Support Services NPPES

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

FIRST COAST COMMUNITY SUPPORT SERVICES (NPI 1184296832) is a healthcare organization registered as a community/behavioral health in Jacksonville, Florida and active in the NPI registry since July 2021. The organization lists Denise Boyd, Administrator, as its authorized official.

NPPES Registry Identity

NPI1184296832
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFIRST COAST COMMUNITY SUPPORT SERVICES
Location Address5300 SAN JUAN AVEJacksonville, FL 32210-3142
Mailing Address5300 San Juan AveJacksonville, FL 32210-3142 · (904) 738-8579 · Fax (904) 619-7835
Phone(904) 738-8579
Fax(904) 619-7835
Organization SubpartYes
Authorized OfficialDenise BoydAdministrator · (904) 738-8579
Enumeration DateJuly 13, 2021
NPPES CertifiedJuly 13, 2021
✔ NPI 1184296832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5300 SAN JUAN AVE, Jacksonville, FL 32210
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Other Identifiers 1

Medicaid103272401FL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NURSING ON DEMAND INC
Technician (Attendant Care Provider)
5300 SAN JUAN AVE
JACKSONVILLE, FL 32210
Duval County (904) 387-9406
CASSIDY REDSHAW
Counselor (Mental Health)
5300 SAN JUAN AVE
JACKSONVILLE, FL 32210
Duval County (904) 738-8579

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 First Coast Community Support Services's NPI number?

The NPI number for First Coast Community Support Services is 1184296832. It was assigned to this organization in the NPPES registry on July 13, 2021.

Where is First Coast Community Support Services located?

First Coast Community Support Services is located at 5300 San Juan Ave, Jacksonville, FL 32210. The listed phone number is (904) 738-8579.

What is First Coast Community Support Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for First Coast Community Support Services was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.