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COMMUNITY REHABILITATION CENTER, INC
NPI 1508991332
Community/Behavioral Health in Jacksonville, FL

Active since February 22, 2007CLIA Certified · 3 labs
623 BEECHWOOD ST, JACKSONVILLE, FL 32206(904) 358-1211(904) 358-1551 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Community Rehabilitation Center, Inc NPPES

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

COMMUNITY REHABILITATION CENTER, INC (NPI 1508991332) is a healthcare organization registered as a community/behavioral health in Jacksonville, Florida and active in the NPI registry since February 2007. The organization holds 3 active CLIA laboratory certificates and lists Judy - Walker, Dir. Substance Abuse Services, as its authorized official.

NPPES Registry Identity

NPI1508991332
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY REHABILITATION CENTER, INC
Location Address623 BEECHWOOD STJacksonville, FL 32206-6236
Mailing Address623 Beechwood StJacksonville, FL 32206-6236 · (904) 358-1211 · Fax (904) 358-1551
Phone(904) 358-1211
Fax(904) 358-1551
Organization SubpartNo
Authorized OfficialJudy - WalkerDir. Substance Abuse Services · (904) 358-1211
Enumeration DateFebruary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508991332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in FL · 251S00000X
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.
623 BEECHWOOD ST, Jacksonville, FL 32206
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CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2031844

Community Rehabilitation Center · Jacksonville, FL
Active · expires Oct 27, 2027
CLIA Number10D2031844
Laboratory TypeCommunity Faith Based Org
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorReginald Gaffney
Laboratory Phone(904) 358-1211
Laboratory LocationCommunity Rehabilitation Center623 Beechwood St, Jacksonville, FL 32206
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2317140

Community Rehabilitation Center Inc · Jacksonville, FL
Active · expires Jan 16, 2027
CLIA Number10D2317140
Laboratory TypeMobile Laboratory
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorSr. Reginald Gaffney
Laboratory Phone(904) 701-0229
Laboratory LocationCommunity Rehabilitation Center Inc623 Beechwood Street, Jacksonville, FL 32206
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2333241

Community Rehabilitation Center Inc · Jacksonville, FL
Active · expires Oct 30, 2027
CLIA Number10D2333241
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorReginald Gaffney Sr
Laboratory Phone(904) 701-0229
Laboratory LocationCommunity Rehabilitation Center Inc4617 Brentwood Ave, Jacksonville, FL 32206
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MS. MATTIE G LUSCO
Case Management
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Duval County (904) 358-1211
MS. SAUNA L HICKS
Counselor (Mental Health)
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Duval County (904) 358-1211
MR. JOHN CALVIN HALE CASE MANAGER
Case Manager/Care Coordinator
623 BEECHWOOD ST, 623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Duval County (904) 358-1211
LATOYA OATES
Counselor (Mental Health)
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Duval County (904) 358-1211
COMMUNITY REHABILITATION CENTER, INC.
Community/Behavioral Health
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Duval County (904) 358-1211
COMMUNITYREHABILITATION CENTER INC
Day Training, Developmentally Disabled Services
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Duval County (904) 358-1211
MS. KIMYATA MARIE WHALEY M.A
Case Manager/Care Coordinator
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Duval County (904) 358-1211
ALBERT N CRANE JR.
Counselor (Mental Health)
623 BEECHWOOD ST
JACKSONVILLE, FL 32206
Duval County (904) 358-1211

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 Community Rehabilitation Center, Inc's NPI number?

The NPI number for Community Rehabilitation Center, Inc is 1508991332. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Community Rehabilitation Center, Inc located?

Community Rehabilitation Center, Inc is located at 623 Beechwood St, Jacksonville, FL 32206. The listed phone number is (904) 358-1211.

What is Community Rehabilitation Center, Inc's specialty?

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

Does Community Rehabilitation Center, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Community Rehabilitation Center, Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.