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WASHINGTON ADULT FAMILY CARE HOME
NPI 1578969689
Custodial Care Facility - Adult Care Home in Jacksonville, FL

Active since November 17, 2014
1963 W 17TH ST, JACKSONVILLE, FL 32209(904) 355-2031(904) 355-8985 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Washington Adult Family Care Home NPPES

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

WASHINGTON ADULT FAMILY CARE HOME (NPI 1578969689) is a healthcare organization registered as an adult care home in Jacksonville, Florida and active in the NPI registry since November 2014. The organization lists Ethel P. Washington, Owner, as its authorized official.

NPPES Registry Identity

NPI1578969689
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameWASHINGTON ADULT FAMILY CARE HOME
Location Address1963 W 17TH STJacksonville, FL 32209-4775
Mailing Address1963 W 17th StJacksonville, FL 32209-4775 · (904) 355-2031 · Fax (904) 355-8985
Phone(904) 355-2031
Fax(904) 355-8985
Organization SubpartNo
Authorized OfficialEthel P. WashingtonOwner · (904) 355-2031
Enumeration DateNovember 17, 2014
✔ NPI 1578969689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in FL · 6905691
Definition
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.
1963 W 17TH ST, Jacksonville, FL 32209
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Other Identifiers 1

Medicaid142164600FL

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 Washington Adult Family Care Home's NPI number?

The NPI number for Washington Adult Family Care Home is 1578969689. It was assigned to this organization in the NPPES registry on November 17, 2014.

Where is Washington Adult Family Care Home located?

Washington Adult Family Care Home is located at 1963 W 17th St, Jacksonville, FL 32209. The listed phone number is (904) 355-2031.

What is Washington Adult Family Care Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Washington Adult Family Care Home was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.