MARVINA SCRUGGS
NPI 1609343474
Clinic/Center - Developmental Disabilities in Jacksonville, FL

Active since October 30, 2018
379 E 47TH ST, JACKSONVILLE, FL 32208(904) 726-7970 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 27, 2018, Oct 30, 2018 (2 updates tracked since 2018).

About Marvina Scruggs NPPES

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

MARVINA SCRUGGS (NPI 1609343474) is an individual developmental disabilities provider in Jacksonville, Florida and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1609343474
Entity TypeIndividualFemale
Primary Taxonomy261QD1600X
Provider Legal NameMARVINA SCRUGGS
Location Address379 E 47TH STJacksonville, FL 32208-5463
Mailing Address379 E 47th StJacksonville, FL 32208-5463 · (904) 726-7970
Sole ProprietorYes
Enumeration DateOctober 30, 2018
Last NPPES UpdateDecember 27, 20182 updates tracked since enumeration
NPI 1609343474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Also ListedHome HealthTaxonomy 251E00000X
Also ListedAdult CompanionTaxonomy 372600000X · License 235397 (FL)
Also ListedHome Health AideTaxonomy 374U00000X
Also ListedRespite CareTaxonomy 385H00000X
379 E 47TH ST, Jacksonville, FL 32208

Other Identifiers 1

Other81-1835965FL · Irs

Other Providers at the Same Location NPPES

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

Non-emergency Medical Transport (VAN)
379 E 47TH ST
JACKSONVILLE, FL 32208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609343474, enumerated as an "individual" on October 30, 2018.

The provider is located at 379 E 47TH ST JACKSONVILLE, FL 32208 and the phone number is (904) 726-7970.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.