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JACKSONVILLE YOUTH SANCTUARY
NPI 1992933964
Case Manager/Care Coordinator in Jacksonville, FL

Active since June 29, 2009
4570 SAINT JOHNS AVE STE 3, JACKSONVILLE, FL 32210(904) 389-5231(904) 677-8019 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacksonville Youth Sanctuary NPPES

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

JACKSONVILLE YOUTH SANCTUARY (NPI 1992933964) is a healthcare organization registered as a case manager/care coordinator in Jacksonville, Florida and active in the NPI registry since June 2009. The organization lists Jennifer G Rousset, Targeted Case Manager, as its authorized official.

NPPES Registry Identity

NPI1992933964
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameJACKSONVILLE YOUTH SANCTUARY
Location Address4570 SAINT JOHNS AVE STE 3Jacksonville, FL 32210-1844
Mailing Address4570 Saint Johns Ave Ste 3Jacksonville, FL 32210-1844 · (904) 389-5231 · Fax (904) 677-8019
Phone(904) 389-5231
Fax(904) 677-8019
Organization SubpartNo
Authorized OfficialJennifer G RoussetTargeted Case Manager · (904) 389-5231
Enumeration DateJune 29, 2009
Last NPPES UpdateAugust 12, 2009
✔ NPI 1992933964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
4570 SAINT JOHNS AVE STE 3, Jacksonville, FL 32210
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Other Identifiers 1

Medicaid360358001FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MINETRICIA MONBRUN B.A.
Case Manager/Care Coordinator
4570 SAINT JOHNS AVE STE 3
JACKSONVILLE, FL 32210
Duval County (904) 389-5231

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 Jacksonville Youth Sanctuary's NPI number?

The NPI number for Jacksonville Youth Sanctuary is 1992933964. It was assigned to this organization in the NPPES registry on June 29, 2009.

Where is Jacksonville Youth Sanctuary located?

Jacksonville Youth Sanctuary is located at 4570 Saint Johns Ave Ste 3, Jacksonville, FL 32210. The listed phone number is (904) 389-5231.

What is Jacksonville Youth Sanctuary's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jacksonville Youth Sanctuary was last updated on August 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.