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NEW JERUSALEM TRANSITIONAL HOUSING LLC
NPI 1962189027
Clinic/Center - Developmental Disabilities in Jacksonville, FL

Active since June 30, 2023
2041 TALLADEGA RD, JACKSONVILLE, FL 32209(904) 834-1113 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About New Jerusalem Transitional Housing Llc NPPES

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

NEW JERUSALEM TRANSITIONAL HOUSING LLC (NPI 1962189027) is a healthcare organization registered as a developmental disabilities in Jacksonville, Florida and active in the NPI registry since June 2023. The organization lists De'aris William Henry, Medicaid, as its authorized official.

NPPES Registry Identity

NPI1962189027
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameNEW JERUSALEM TRANSITIONAL HOUSING LLC
Location Address2041 TALLADEGA RDJacksonville, FL 32209-2639
Mailing Address2041 Talladega RdJacksonville, FL 32209-2639 · (904) 834-1113
Phone(904) 834-1113
Organization SubpartNo
Authorized OfficialDe'aris William HenryMedicaid · (904) 834-1113
Enumeration DateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1962189027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
2041 TALLADEGA RD, Jacksonville, FL 32209
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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 New Jerusalem Transitional Housing LLC's NPI number?

The NPI number for New Jerusalem Transitional Housing LLC is 1962189027. It was assigned to this organization in the NPPES registry on June 30, 2023.

Where is New Jerusalem Transitional Housing LLC located?

New Jerusalem Transitional Housing LLC is located at 2041 Talladega Rd, Jacksonville, FL 32209. The listed phone number is (904) 834-1113.

What is New Jerusalem Transitional Housing LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for New Jerusalem Transitional Housing LLC was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.