MARY IMHANSIEMHONEHI (NPI# 1235786856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235786856 |
| Entity Type | Individual |
| Full Name | MARY IMHANSIEMHONEHI |
| Practice Address |
4568 Antler Hill Dr E Jacksonville FL 32224-8704 |
| Practice Telephone | 3862658778 |
| Mailing Telephone | 3862658778 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
4568 ANTLER HILL DR E |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224-8704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628565 | Rachelle Homehealth Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8539 Gate Pkwy W Unit 9134, Jacksonville, FL 32216-1037 | 2020-10-26 |
| 1306459359 | Joy-little Enterprise LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9148 Ridge Blvd, Jacksonville, FL 32208-1265 | 2020-08-28 |
| 1346873882 | Cojo Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3825 Leonard Cir W, Jacksonville, FL 32209-3754 | 2020-02-12 |
| 1306497672 | Tamara Belcher-bostick | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2020 Almira St, Jacksonville, FL 32211-4604 | 2019-09-26 |
| 1942866611 | Linda R Siplin-kerrin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11855 Alexandra Dr, Jacksonville, FL 32218-8878 | 2019-05-17 |
| 1417414053 | Danx Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6859 Lenox Ave # 32, Jacksonville, FL 32205-6149 | 2019-03-01 |
| 1558834879 | Annquenette C Daniels | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6859 Lenox Ave Ste 32, Jacksonville, FL 32205-6149 | 2019-01-09 |
| 1730650573 | Turnaround Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1159 E 13th St, Jacksonville, FL 32206-3105 | 2018-12-05 |
| 1962982090 | Joyful Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6500 Lake Gray Blvd Apt 322, Jacksonville, FL 32244-7553 | 2018-08-17 |
| 1588144802 | Fleming Total Support Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6760 Portofina Ct, Jacksonville, FL 32222 | 2018-08-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
Please comment or provide details below to improve the information on MARY IMHANSIEMHONEHI.
| 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.