FRIENDS AND ADULT FAMILY CARE HOME
NPI 1194979773
Custodial Care Facility - Adult Care Home in Jacksonville, FL
- Organization
- Custodial Care Facility
- Adult Care Home
About FRIENDS AND ADULT FAMILY CARE HOME
This page provides the complete NPI Profile along with additional information for Friends And Adult Family Care Home, a provider established in Jacksonville, Florida operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1194979773 assigned on November 2008. The practitioner's primary taxonomy code is 311ZA0620X with license number 6906276 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Agelet St-hubert (Owner/provider)
- NPI
- 1194979773 Verify this NPI
- Provider Name
- FRIENDS AND ADULT FAMILY CARE HOME
- Entity Type
- Organization
- Location Address
- 764 AQUA SURF CT JACKSONVILLE, FL 32225
- Location Phone
- (904) 554-6051
- Location Fax
- (904) 361-3235
- Mailing Address
- 764 AQUA SURF CT JACKSONVILLE, FL 32225
- Mailing Phone
- (904) 554-6051
- Mailing Fax
- (904) 361-3235
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-10-2008
- Last Update Date
- 04-03-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 6906276
- License State
- FL
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32225
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194979773, enumerated as an "organization" on November 10, 2008.
The provider is located at 764 AQUA SURF CT JACKSONVILLE, FL 32225 and the phone number is (904) 554-6051.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
