SALEM VILLAGES MRDD, INC.
NPI 1861560385
Intermediate Care Facility, Intellectual Disabilities in Jacksonville, FL

Active since December 01, 2006
4748 TUNIS ST, JACKSONVILLE, FL 32205(352) 372-0130 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Salem Villages Mrdd, Inc. NPPES

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

SALEM VILLAGES MRDD, INC. (NPI 1861560385) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Jacksonville, Florida and active in the NPI registry since December 2006. The organization lists Deena Ombres, Privacy Officer, as its authorized official.

NPPES Registry Identity

NPI1861560385
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSALEM VILLAGES MRDD, INC.
Location Address4748 TUNIS STJacksonville, FL 32205-7379
Mailing Address10140 Linn Station RdLouisville, KY 40223-3813 · (800) 866-0860
Organization SubpartNo
Authorized OfficialDeena OmbresPrivacy Officer · (502) 394-2387
Enumeration DateDecember 1, 2006
Last NPPES UpdateJanuary 3, 2011
NPI 1861560385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
4748 TUNIS ST, Jacksonville, FL 32205

Other Identifiers 1

Medicaid028563300FL

Other Providers at the Same Location NPPES 4

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

Intermediate Care Facility, Intellectual Disabilities
4748 TUNIS ST
JACKSONVILLE, FL 32205
Intermediate Care Facility, Intellectual Disabilities
4748 TUNIS ST
JACKSONVILLE, FL 32205
Intermediate Care Facility, Intellectual Disabilities
4748 TUNIS ST
JACKSONVILLE, FL 32205
Intermediate Care Facility, Intellectual Disabilities
4748 TUNIS ST
JACKSONVILLE, FL 32205

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 Salem Villages Mrdd, Inc.'s NPI number?

The NPI number for Salem Villages Mrdd, Inc. is 1861560385. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Salem Villages Mrdd, Inc. located?

Salem Villages Mrdd, Inc. is located at 4748 Tunis St, Jacksonville, FL 32205. The listed phone number is (352) 372-0130.

What is Salem Villages Mrdd, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Salem Villages Mrdd, Inc. was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.