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HARRIS HOUSE ADULT DAY CARE CENTER INC. NPI 1255635538


NPI Information

NPI: 1255635538
Provider Name: HARRIS HOUSE ADULT DAY CARE CENTER, INC.
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
9857 GIBSON AVE
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 425-4040
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HARRIS HOUSE ADULT DAY CARE CENTER, INC. is a nursing care in Jacksonville, FL. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. HARRIS HOUSE ADULT DAY CARE CENTER, INC. NPI is 1255635538. The provider is registered as an organization entity type.

The provider's business location address is:

9857 GIBSON AVE
JACKSONVILLE, FL
ZIP 32208-213
Phone: (904) 425-4040

The provider's authorized official is Renee Harris .
The authorized official title is Ceo and has the following contact phone number (904) 425-4040.

The enumeration date for this NPI number is 12/31/2010 and was last updated on 12/31/2010.


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
1251J00000XNursing Care9014FLORIDAYes

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
1687233600MEDICAIDFLORIDA

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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