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SAMANTHA S WARFORD
NPI 1417550781
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Active since November 19, 2020
8071 BEAVER CREEK DR, JACKSONVILLE, FL 32210(904) 536-4015 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha S Warford NPPES

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

SAMANTHA S WARFORD (NPI 1417550781) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Jacksonville, Florida and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1417550781
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameSAMANTHA S WARFORD
Location Address8071 BEAVER CREEK DRJacksonville, FL 32210-9772
Mailing Address8071 Beaver Creek DrJacksonville, FL 32210-9772 · (904) 536-4015
Phone(904) 536-4015
Sole ProprietorYes
Enumeration DateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1417550781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
8071 BEAVER CREEK DR, Jacksonville, FL 32210
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Other Identifiers 1

Medicaid107979400FL

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 Samantha Warford's NPI number?

The NPI number for Samantha Warford is 1417550781. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Where is Samantha Warford located?

Samantha Warford practices at 8071 Beaver Creek Dr, Jacksonville, FL 32210. The listed phone number is (904) 536-4015.

What is Samantha Warford'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 Samantha Warford was last updated on November 19, 2020. 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.