MT. MORIAH UNITED METHODIST CHURCH, INC (NPI# 1366770133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366770133 |
| Entity Type | Organization |
| Organization Name | MT. MORIAH UNITED METHODIST CHURCH, INC |
| Other Organization Name | MT. MORIAH ADULT DAYCARE |
| Practice Address |
3919 Saint Augustine Rd Jacksonville FL 32207-6638 |
| Practice Telephone | 9043966918 |
| Practice Fax Number | 9043961444 |
| Mailing Telephone | 9043966918 |
| Mailing Fax Number | 9043961444 |
| Enumeration Date | 2009-12-06 |
| Last Update Date | 2009-12-06 |
| Authorized Official Name | DELORIS DEMPS (ADMINISTRATOR) |
| Authorized Official Telephone | 9043966918 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
9038 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Mt. Moriah Adult Daycare | Other Name - Individual/Organization |
| Street Address |
3919 SAINT AUGUSTINE RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-6638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| 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 | 32207 |
Please comment or provide details below to improve the information on MT. MORIAH UNITED METHODIST CHURCH, INC.
| 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.