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EISENHOWER JACKSONVILLE GROUP LLC
NPI 1417494485
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jacksonville, FL

Active since January 27, 2017
2671 HUFFMAN BLVD, JACKSONVILLE, FL 32246(734) 677-0070(734) 677-0890 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2021, May 19, 2021, Oct 8, 2019 and 3 more (6 updates tracked since 2017).

About Eisenhower Jacksonville Group Llc NPPES

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

EISENHOWER JACKSONVILLE GROUP LLC (NPI 1417494485) is a healthcare organization registered as a mental health (including community mental health center) in Jacksonville, Florida and active in the NPI registry since January 2017. The organization lists Ann Pendley, President, as its authorized official.

NPPES Registry Identity

NPI1417494485
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEISENHOWER JACKSONVILLE GROUP LLC
Location Address2671 HUFFMAN BLVDJacksonville, FL 32246-4056
Mailing Address2671 Huffman BlvdJacksonville, FL 32246-4056 · (734) 677-0070 · Fax (734) 677-0890
Phone(734) 677-0070
Fax(734) 677-0890
Organization SubpartYesParent: Moriah Incoorporated
Authorized OfficialAnn PendleyPresident · (734) 677-0070
Enumeration DateJanuary 27, 2017
Last NPPES UpdateSeptember 28, 20216 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
✔ NPI 1417494485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPhysical Medicine & Rehabilitation · Brain Injury MedicineTaxonomy 2081P0301X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
2671 HUFFMAN BLVD, Jacksonville, FL 32246
Open in Google Maps ↗

Other Identifiers 1

Other1558544130FL · Transitional Living Facility

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 3

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

TRUCARE LTC, LLC
Pharmacy (Long Term Care Pharmacy)
2671 HUFFMAN BLVD
JACKSONVILLE, FL 32246
Duval County (616) 965-7480
STEPHANIE MARIE COFFEY RN
Registered Nurse
2671 HUFFMAN BLVD
JACKSONVILLE, FL 32246
Duval County (904) 425-8885
MARY LYNNETTE SHOFFNER
Occupational Therapist
2671 HUFFMAN BLVD
JACKSONVILLE, FL 32246
Duval County (904) 425-8885

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 Eisenhower Jacksonville Group LLC's NPI number?

The NPI number for Eisenhower Jacksonville Group LLC is 1417494485. It was assigned to this organization in the NPPES registry on January 27, 2017.

Where is Eisenhower Jacksonville Group LLC located?

Eisenhower Jacksonville Group LLC is located at 2671 Huffman Blvd, Jacksonville, FL 32246. The listed phone number is (734) 677-0070.

What is Eisenhower Jacksonville Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Eisenhower Jacksonville Group LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Eisenhower Jacksonville Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eisenhower Jacksonville Group LLC was last updated on September 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.