TAMBOLINA ADULT DAY CARE (NPI# 1083220560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083220560 |
| Entity Type | Organization |
| Organization Name | TAMBOLINA ADULT DAY CARE |
| Practice Address |
1627 Rogero Rd Ste C Jacksonville FL 32211-4866 |
| Practice Telephone | 9045531013 |
| Practice Fax Number | 9042400309 |
| Mailing Telephone | 9045531013 |
| Mailing Fax Number | 9042400309 |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-09-19 |
| Authorized Official Name | MRS. LINDA FUSTER MOMORIE (ADMINISTRATOR) |
| Authorized Official Telephone | 9046511310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TAMBOLINA DAY CENTER | Doing Business As Name - Organization |
| Street Address |
1627 ROGERO RD STE C |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211-4866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885054 | Tambolina Adult Day Care Center | Clinic/Center | 1627 Rogero Rd # 1627, Jacksonville, FL 32211-4866 | 2020-09-11 |
| 1326542929 | Ganesh Business Group, Lllp | Clinic/Center | 644 Cesery Blvd Ste 106, Jacksonville, FL 32211-7165 | 2018-03-20 |
| 1831640929 | Phally Lang | Clinic/Center | 542 Edgewood Ave S, Jacksonville, FL 32205-5333 | 2016-10-24 |
| 1538556477 | Divine Enterprises, Inc. | Clinic/Center | 1068 Arlington Rd N, Jacksonville, FL 32211-5811 | 2015-04-17 |
| 1518309319 | Martha's Adult Daycare & Services, Inc. | Clinic/Center | 8668 Lem Turner Rd, Jacksonville, FL 32208-2667 | 2013-07-22 |
| 1881039543 | Toney Adult Day Care Inc | Clinic/Center | 4406 Notter Ave, Jacksonville, FL 32206-6336 | 2013-05-07 |
| 1275891178 | Hampton's Luxury Villas Inc | Clinic/Center | 10695 Hampton Rd, Jacksonville, FL 32257-6905 | 2012-04-27 |
| 1912202136 | Bishop Home Care, Inc | Clinic/Center | 1627 E 8th Street, Jacksonville, FL 32206 | 2011-01-19 |
| 1881903045 | Add To Life Adult Day Care, Inc. | Clinic/Center | 5877 Old Timuquana Rd, Jacksonville, FL 32210-7888 | 2010-10-05 |
| 1881663466 | Zapa Management Inc | Clinic/Center | 6271-17 St Augustine Rd, Jacksonville, FL 32217 | 2006-03-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
Please comment or provide details below to improve the information on TAMBOLINA ADULT DAY CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.