MRS. ABBEY-GALE SAMANTHA HARPER


Address: 15751 Twin Creek Dr, Jacksonville, FL 32218-8337
Phone: 9045201584

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 15751 TWIN CREEK DR
City JACKSONVILLE
State FL
Zip Code 32218-8337

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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32218

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Dataset Information

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.

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