MARINA CAMPOS
NPI 1669631214
Custodial Care Facility - Adult Care Home in Jacksonville, FL

Active since June 07, 2008
2264 DELLWOOD AVE, JACKSONVILLE, FL 32204(904) 384-3888 Get Directions Write a Review

NPPES record last updated: June 7, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marina Campos NPPES

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

MARINA CAMPOS (NPI 1669631214) is an individual adult care home provider in Jacksonville, Florida, licensed in Florida (6905793) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1669631214
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameMARINA CAMPOS
Location Address2264 DELLWOOD AVEJacksonville, FL 32204-3102
Mailing Address2264 Dellwood AveJacksonville, FL 32204-3102 · (904) 384-3888
Sole ProprietorYes
Enumeration DateJune 7, 2008
NPI 1669631214 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 · 6905793
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.

2264 DELLWOOD AVE, Jacksonville, FL 32204

Other Identifiers 1

Medicaid142300200FL

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669631214, enumerated as an "individual" on June 07, 2008.

The provider is located at 2264 DELLWOOD AVE JACKSONVILLE, FL 32204 and the phone number is (904) 384-3888.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

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