NORTHEAST SUPPORT COORDINATION SERVICES INC
NPI 1972256790
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Q: What is Northeast Support Coordination 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 February 01, 2022

1545 CHARON RD, JACKSONVILLE, FL 32205(904) 387-2741(904) 387-4774 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Northeast Support Coordination Services Inc NPPES

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

NORTHEAST SUPPORT COORDINATION SERVICES INC (NPI 1972256790), doing business as Northeast Support Coordination Services, 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 February 2022. The organization lists Betty Daigger, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1972256790

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameNORTHEAST SUPPORT COORDINATION SERVICES INC

Location Address1545 CHARON RDJacksonville, FL 32205-9201

Mailing Address1545 Charon RdJacksonville, FL 32205-9201 · (904) 387-2741 · Fax (904) 387-4774

Phone(904) 387-2741

Fax(904) 387-4774

Organization SubpartNo

Authorized OfficialBetty DaiggerCo-owner · (904) 387-2741

Enumeration DateFebruary 1, 2022

NPPES CertifiedFebruary 1, 2022

✔ NPI 1972256790 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.

1545 CHARON RD, Jacksonville, FL 32205

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Other Names 1

Doing Business AsNortheast Support Coordination Services

Other Providers at the Same Location NPPES

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

B & D SUPPORT SERVICES INC.

Case Management

1545 CHARON RD
JACKSONVILLE, FL 32205

Duval County (904) 387-2741

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 Northeast Support Coordination Services Inc's NPI number?

The NPI number for Northeast Support Coordination Services Inc is 1972256790. It was assigned to this organization in the NPPES registry on February 1, 2022. The provider is doing business as Northeast Support Coordination Services.

Where is Northeast Support Coordination Services Inc located?

Northeast Support Coordination Services Inc is located at 1545 Charon Rd, Jacksonville, FL 32205. The listed phone number is (904) 387-2741.

What is Northeast Support Coordination 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 Northeast Support Coordination Services Inc was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.