EXCEL BEYOND REACH GROUP HOME AND SUPPORT SERVICES, INC
NPI 1902777022
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Q: What is Excel Beyond Reach Group Home And Support Services, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since September 12, 2025

12379 GLIMMER WAY, JACKSONVILLE, FL 32219(904) 314-7411 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Excel Beyond Reach Group Home And Support Services, Inc NPPES

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

EXCEL BEYOND REACH GROUP HOME AND SUPPORT SERVICES, INC (NPI 1902777022) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, Florida and active in the NPI registry since September 2025. The organization lists Stephanie Forde, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902777022

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameEXCEL BEYOND REACH GROUP HOME AND SUPPORT SERVICES, INC

Location Address12379 GLIMMER WAYJacksonville, FL 32219-1867

Mailing Address12379 Glimmer WayJacksonville, FL 32219-1867 · (904) 314-7411

Phone(904) 314-7411

Organization SubpartNo

Authorized OfficialStephanie FordeCeo · (904) 314-7411

Enumeration DateSeptember 12, 2025

NPPES CertifiedSeptember 12, 2025

✔ NPI 1902777022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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.

EXCEL BEYOND TRANSPORTATION

Non-emergency Medical Transport (VAN)

12379 GLIMMER WAY
JACKSONVILLE, FL 32219

Duval County (904) 314-7411

MRS. STEPHANIE R FORDE

Technician (Personal Care Attendant)

12379 GLIMMER WAY
JACKSONVILLE, FL 32219

Duval County (904) 314-7411

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 Excel Beyond Reach Group Home And Support Services, Inc's NPI number?

The NPI number for Excel Beyond Reach Group Home And Support Services, Inc is 1902777022. It was assigned to this organization in the NPPES registry on September 12, 2025.

Where is Excel Beyond Reach Group Home And Support Services, Inc located?

Excel Beyond Reach Group Home And Support Services, Inc is located at 12379 Glimmer Way, Jacksonville, FL 32219. The listed phone number is (904) 314-7411.

What is Excel Beyond Reach Group Home And Support Services, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Excel Beyond Reach Group Home And Support Services, Inc was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.