WATTS GUARDIAN CARE, INC.


Address: 7217 Eudine Dr N, Jacksonville, FL 32210-2628
Phone: 9046932276

WATTS GUARDIAN CARE, INC. (NPI# 1679997704) 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) 1679997704
Entity Type Organization
Organization Name WATTS GUARDIAN CARE, INC.
Practice Address 7217 Eudine Dr N
Jacksonville
FL 32210-2628
Practice Telephone 9046932276
Mailing Telephone 9046932276
Enumeration Date 2014-02-10
Last Update Date 2014-02-10
Authorized Official Name MRS. MILDRED WALKER WATTS (PRESIDENT)
Authorized Official Telephone 9046932276
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
AL10622 FL Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 142374600 05

Office Location

Street Address 7217 EUDINE DR N
City JACKSONVILLE
State FL
Zip Code 32210-2628

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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1861896284 Stephanie's Love & Care (alf) Assisted Living Facility 3056 W 1st St, Jacksonville, FL 32254-2539 2014-10-14
1245643915 Golden Retreat Shelter Care Center, Inc. Assisted Living Facility 4410 Moncrief Rd W, Jacksonville, FL 32209-1228 2014-06-10
1952714404 Ivan Maldonado Assisted Living Facility 6320 Arlington Rd, Jacksonville, FL 32211-5430 2014-06-03
1215353370 Arlington Adult Residential Facility, Inc. Assisted Living Facility 6300 Arlington Expy, Jacksonville, FL 32211-7144 2014-03-13
1164868923 Circle of Hope Inc Assisted Living Facility 1550 W 9th St, Jacksonville, FL 32209-5410 2013-05-20
1851736540 Autumn Village, Inc. Assisted Living Facility 1103 Barrs Street, Jacksonville, FL 32204 2013-05-08
1265780274 Wiley Retirement Home Assisted Living Facility 7024 Wiley Rd, Jacksonville, FL 32210-2736 2012-08-22
1447567540 Second Beginnings Alf Assisted Living Facility 7306 Maple Tree Dr, Jacksonville, FL 32277-2806 2010-09-10
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Competitor

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City JACKSONVILLE
Zip Code 32210

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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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