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SOCIAL CARE SERVICES LLC NPI 1073288759


NPI Information

NPI: 1073288759
Provider Name: SOCIAL CARE SERVICES, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
8833 PERIMETER PARK BLVD STE 201
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 294-5329
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SOCIAL CARE SERVICES, LLC is a clinic center in Jacksonville, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOCIAL CARE SERVICES, LLC NPI is 1073288759. The provider is registered as an organization entity type.

The provider's business location address is:

8833 PERIMETER PARK BLVD STE 201
JACKSONVILLE, FL
ZIP 32216-111
Phone: (904) 294-5329
Fax: (904) 485-8460

The provider's authorized official is Hydee Vanterpool .
The authorized official title is Coo and has the following contact phone number (904) 294-5329.

The enumeration date for this NPI number is 8/13/2021 and was last updated on 8/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1105907000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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