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TAMBOLINA SERVICES COMMUNITY RESIDENT HOME, INC
NPI 1902404668
Assisted Living Facility in Jacksonville, FL

Active since October 15, 2020
6285 CRANBERRY LN W, JACKSONVILLE, FL 32244(904) 651-1310(904) 240-0309 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tambolina Services Community Resident Home, Inc NPPES

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

TAMBOLINA SERVICES COMMUNITY RESIDENT HOME, INC (NPI 1902404668), doing business as Tambolina Services Community Resident Home, is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since October 2020. The organization lists Tamba Medza Momorie, Associate Administrator, as its authorized official.

NPPES Registry Identity

NPI1902404668
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTAMBOLINA SERVICES COMMUNITY RESIDENT HOME, INC
Location Address6285 CRANBERRY LN WJacksonville, FL 32244-2559
Mailing Address6285 Cranberry Ln WJacksonville, FL 32244-2559 · (904) 651-1310 · Fax (904) 240-0309
Phone(904) 651-1310
Fax(904) 240-0309
Organization SubpartNo
Authorized OfficialTamba Medza MomorieAssociate Administrator · (904) 629-9922
Enumeration DateOctober 15, 2020
NPPES CertifiedOctober 14, 2020
✔ NPI 1902404668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
6285 CRANBERRY LN W, Jacksonville, FL 32244
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Other Names 1

Former Legal Business NameTambolina Services Community Resident Home

Other Providers at the Same Location NPPES 2

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

NEEMY MICHEL
Day Training, Developmentally Disabled Services
6285 CRANBERRY LN W
JACKSONVILLE, FL 32244
Duval County (561) 685-9622
PASSIONATE GROUP HOME SERVICES LLC
In Home Supportive Care
6285 CRANBERRY LN W
JACKSONVILLE, FL 32244
Duval County (561) 685-9622

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 Tambolina Services Community Resident Home, Inc's NPI number?

The NPI number for Tambolina Services Community Resident Home, Inc is 1902404668. It was assigned to this organization in the NPPES registry on October 15, 2020. The provider was formerly known as Tambolina Services Community Resident Home.

Where is Tambolina Services Community Resident Home, Inc located?

Tambolina Services Community Resident Home, Inc is located at 6285 Cranberry Ln W, Jacksonville, FL 32244. The listed phone number is (904) 651-1310.

What is Tambolina Services Community Resident Home, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Tambolina Services Community Resident Home, Inc was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.