DEMETRICE DOWDELL (NPI# 1265822175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265822175 |
| Entity Type | Organization |
| Organization Name | DEMETRICE DOWDELL |
| Other Organization Name | DEMETRICE ADULT FAMILY CARE HOME |
| Practice Address |
1959 Cherokee Cove Trl Jacksonville FL 32221-4927 |
| Practice Telephone | 9048818908 |
| Mailing Telephone | 9048818908 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-05-19 |
| Authorized Official Name | MS. DEMETRICE DOWDELL (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 9048818908 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906727 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Demetrice Adult Family Care Home | Doing Business As Name - Organization |
| Street Address |
1959 CHEROKEE COVE TRL |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32221-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092534 | Ronetta S Wright | Non-emergency Medical Transport (VAN) | 8450 Perryman Ln N, Jacksonville, FL 32221 | 2020-01-18 |
| 1770128910 | Anointed Hands Support Services LLC | In Home Supportive Care | 11448 Emma Oaks Ln, Jacksonville, FL 32221 | 2019-11-12 |
| 1174173637 | Nichele Blakney | Technician | 10182 Carriage House Court, Jacksonville, FL 32221 | 2019-09-17 |
| 1659892743 | Sebastian Isaza | Dentist | 11043 Crystal Springs Rd Ste 20, Jacksonville, FL 32221 | 2017-06-29 |
| 1518497031 | Valda M Brown | Nurse's Aide | 11201 Lothmore Rd, Jacksonville, FL 32221 | 2017-06-18 |
| 1942603899 | Pain Medicine Physicians of Jacksonville, LLC | Anesthesiology | 10250 Normandy Boulevard, Suite 702, Jacksonville, FL 32221 | 2014-10-07 |
| 1376950501 | Daniel C Marin | Physician Assistant | 1584 Normandy Village Pkwy Ste 32, Jacksonville, FL 32221 | 2014-07-21 |
| 1508001850 | Lilliam Rivera | Registered Nurse | 2236 Brian Lakes Dr. E, Jacksonville, FL 32221 | 2008-12-15 |
| 1992979777 | La Quenda Mosby Pharr | Community Health Worker | 10361 Shelby Creek Rd.s, Jacksonville, FL 32221 | 2008-04-14 |
| 1922167196 | Donald Robert Engels Jr. | Chiropractor | 7661 Knoll Dr N, Jacksonville, FL 32221 | 2006-12-06 |
| Find all providers in zip 32221 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710512918 | Westwood Manor Residential Care Home LLC | Custodial Care Facility | 5118 Bilken Dr E, Jacksonville, FL 32210-6348 | 2020-03-08 |
| 1770128159 | Christine Ann Mentz | Custodial Care Facility | 13903 Ascot Dr, Jacksonville, FL 32250-1603 | 2019-11-09 |
| 1316430275 | Mary Seeram | Custodial Care Facility | 4313 Savannah Ave, Jacksonville, FL 32210-7307 | 2018-06-14 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| 1336677921 | Daniel Dowdell | Custodial Care Facility | 1214 Saint Clair St, Jacksonville, FL 32254-2456 | 2017-05-26 |
| 1134670821 | Morine Lee | Custodial Care Facility | 1804 University Blvd N, Jacksonville, FL 32211-4524 | 2016-10-18 |
| 1457800708 | T & T Loving Care Home, Inc. | Custodial Care Facility | 7106 Berrywood Ln, Jacksonville, FL 32277-2609 | 2016-09-28 |
| 1922554252 | Debra Richards | Custodial Care Facility | 14121 Devan Lee Dr W, Jacksonville, FL 32226 | 2016-08-28 |
| 1508222779 | Abbey-gale Samantha Harper | Custodial Care Facility | 15751 Twin Creek Dr, Jacksonville, FL 32218-8337 | 2016-01-04 |
| 1790152866 | Sabrinas Love and Care | Custodial Care Facility | 1701 Lake Shore Blvd Apt 2202, Jacksonville, FL 32210-1669 | 2015-08-25 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32221 |
Please comment or provide details below to improve the information on DEMETRICE DOWDELL.
| 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.