DEBRA RICHARDS
NPI 1922554252
Custodial Care Facility - Adult Care Home in Jacksonville, FL

Active since August 28, 2016
14121 DEVAN LEE DR W, JACKSONVILLE, FL 32226(904) 379-0354(904) 551-5321 Get Directions Write a Review

NPPES record last updated: January 27, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 27, 2019, Nov 2, 2018, Aug 28, 2016 (3 updates tracked since 2016).

About Debra Richards NPPES

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

DEBRA RICHARDS (NPI 1922554252) is an individual adult care home provider in Jacksonville, Florida, licensed in Florida (6906683) and active in the NPI registry since August 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922554252
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameDEBRA RICHARDS
Location Address14121 DEVAN LEE DR WJacksonville, FL 32226
Mailing Address14121 Devan Lee Dr WJacksonville, FL 32226-5825 · (904) 379-0354 · Fax (904) 551-5321
Fax(904) 551-5321
Sole ProprietorYes
Enumeration DateAugust 28, 2016
Last NPPES UpdateJanuary 27, 20193 updates tracked since enumeration
NPI 1922554252 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 · 6906683
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.

14121 DEVAN LEE DR W, Jacksonville, FL 32226

Secondary Practice Locations 2

Location 14082 victoria lakes drive southjacksonville, FL 32226 · Phone (904) 379-0354
Location 214121 DeVan Lee Dr WJacksonville, FL 32226 · Phone (904) 379-0354 · Fax (904) 551-5321

Other Identifiers 1

Medicaid010788600FL

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922554252, enumerated as an "individual" on August 28, 2016.

The provider is located at 14121 DEVAN LEE DR W JACKSONVILLE, FL 32226 and the phone number is (904) 379-0354.

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.