GRANDMARY'S HOUSE
NPI 1578892485
Clinic/Center - Federally Qualified Health Center (FQHC) in Jacksonville, FL

Active since December 24, 2009
4828 EVANSTON RD, JACKSONVILLE, FL 32208(904) 768-8350 Get Directions Write a Review

NPPES record last updated: December 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grandmary's House NPPES

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

GRANDMARY'S HOUSE (NPI 1578892485) is a healthcare organization registered as a federally qualified health center (fqhc) in Jacksonville, Florida and active in the NPI registry since December 2009. The organization lists Mary A Robinson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578892485
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGRANDMARY'S HOUSE
Location Address4828 EVANSTON RDJacksonville, FL 32208
Mailing Address4828 Evanston Rd, JacksonvilleJacksonville, FL 32208-1840
Organization SubpartNo
Authorized OfficialMary A RobinsonAdministrator · (904) 768-8350
Enumeration DateDecember 24, 2009
NPI 1578892485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License Licensed in MI · 59062583
4828 EVANSTON RD, Jacksonville, FL 32208

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 Grandmary's House's NPI number?

The NPI number for Grandmary's House is 1578892485. It was assigned to this organization in the NPPES registry on December 24, 2009.

Where is Grandmary's House located?

Grandmary's House is located at 4828 Evanston Rd, Jacksonville, FL 32208. The listed phone number is (904) 768-8350.

What is Grandmary's House's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Grandmary's House was last updated on December 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.