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JACKSON COUNTY SENIOR CITIZENS INC. NPI 1609072644


NPI Information

NPI: 1609072644
Provider Name: JACKSON COUNTY SENIOR CITIZENS, INC.
Classification: Homemaker - 376J00000X
Entity Type: Organization
Address:
5400 CLIFF ST
GRACEVILLE, FL
ZIP 32440
Phone: (850) 263-4650
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JACKSON COUNTY SENIOR CITIZENS, INC. is a homemaker in Graceville, FL. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. JACKSON COUNTY SENIOR CITIZENS, INC. NPI is 1609072644. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5400 CLIFF ST
GRACEVILLE, FL
ZIP 32440-732
Phone: (850) 263-4650
Fax: (850) 263-4136

The provider's authorized official is Carolyn D Rhynes .
The authorized official title is Executive Director and has the following contact phone number (850) 263-4650.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 3/29/2022.


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
1376J00000XHomemakerYes

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
1023874500MEDICAIDFLORIDA

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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