MRS. ABBEY-GALE SAMANTHA HARPER (NPI# 1508222779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508222779 |
Entity Type | Individual |
Full Name | MRS. ABBEY-GALE SAMANTHA HARPER |
Practice Address |
15751 Twin Creek Dr Jacksonville FL 32218-8337 |
Practice Telephone | 9045201584 |
Practice Fax Number | 9045133797 |
Mailing Telephone | 9045201584 |
Mailing Fax Number | 9045133797 |
Enumeration Date | 2016-01-04 |
Last Update Date | 2017-03-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906860 | FL | Nursing & Custodial Care Facilities |
N | 372600000X | Adult Companion | 234224 | FL | Nursing Service Related Providers |
N | 376J00000X | Homemaker | 234224 | FL | Nursing Service Related Providers |
Street Address |
15751 TWIN CREEK DR |
City | JACKSONVILLE |
State | FL |
Zip Code | 32218-8337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
Find all providers in zip 32218 |
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 |
1790152866 | Sabrinas Love and Care | Custodial Care Facility | 1701 Lake Shore Blvd Apt 2202, Jacksonville, FL 32210-1669 | 2015-08-25 |
1265822175 | Demetrice Dowdell | Custodial Care Facility | 1959 Cherokee Cove Trl, Jacksonville, FL 32221-4927 | 2015-01-30 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32218 |
Please comment or provide details below to improve the information on MRS. ABBEY-GALE SAMANTHA HARPER.
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.