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HOME AWAY FROM HOME OF PUTNAM CO., INC.
NPI 1831060821
Day Training/Habilitation Specialist in San Mateo, FL

Active since September 15, 2025
680 OLD SAN MATEO RD, SAN MATEO, FL 32187(386) 329-3208(386) 385-3248 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Home Away From Home Of Putnam Co., Inc. NPPES

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

HOME AWAY FROM HOME OF PUTNAM CO., INC. (NPI 1831060821) is a healthcare organization registered as a day training/habilitation specialist in San Mateo, Florida and active in the NPI registry since September 2025. The organization maintains 3 additional practice locations and lists Teresa Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1831060821
Entity TypeOrganization
Primary Taxonomy373H00000X
Legal Business NameHOME AWAY FROM HOME OF PUTNAM CO., INC.
Location Address680 OLD SAN MATEO RDSan Mateo, FL 32187-2220
Mailing Address3108 Saint Johns AvePalatka, FL 32177-4132 · (386) 385-3166 · Fax (386) 385-3248
Phone(386) 329-3208
Fax(386) 385-3248
Organization SubpartNo
Authorized OfficialTeresa JacksonPresident · (386) 329-3208
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1831060821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

680 OLD SAN MATEO RD, San Mateo, FL 32187
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Secondary Practice Locations 3

Location 1121 E Peniel RdPalatka, FL 32177-8439 · Phone (386) 329-3208 · Fax (386) 385-3248
Location 2322 N 10th StPalatka, FL 32177-3319 · Phone (386) 329-3208 · Fax (386) 385-3248
Location 34311 Pontiac StPalatka, FL 32177-2463 · Phone (386) 329-3208 · Fax (386) 385-3248

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

What is HOME AWAY FROM HOME OF PUTNAM CO., INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1831060821, enumerated as an "organization" on September 15, 2025.

Where is the provider located?

The provider is located at 680 OLD SAN MATEO RD SAN MATEO, FL 32187 and the phone number is (386) 329-3208.

What is the provider's specialty?

Day Training/Habilitation Specialist with taxonomy code 373H00000X.