RIVER CITY COMPANIONSHIP LLC (NPI# 1811412539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811412539 |
| Entity Type | Organization |
| Organization Name | RIVER CITY COMPANIONSHIP LLC |
| Other Organization Name | RIVER CITY COMPANIONSHIP L.L.C. |
| Practice Address |
7857 Delaroche Drive Jacksonville FL 32210 |
| Mailing Address |
7857 Delaroche Dr Jacksonville FL 32210-2566 |
| Practice Telephone | (904) 378-0561 |
| Practice Fax Number | 9043780561 |
| Mailing Telephone | 9043780561 |
| Mailing Fax Number | 9043780561 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | MRS. SHELI MARIE MCCALLISTER (OWNER/CEO) |
| Authorized Official Telephone | 8502414937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
234691 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021062800 | 05 |
| Other Name | Type Code |
|---|---|
| River City Companionship L.L.C. | Doing Business As Name - Organization |
| Street Address |
7857 DELAROCHE DRIVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
| 1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
| 1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
| 1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
| 1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
| 1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
| 1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
| 1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
| 1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
| 1043677412 | Acn Baromedical Center | Family Medicine | 1585 Blanding Blvd Suite 1 & 2, Jacksonville, FL 32210 | 2016-01-15 |
| Find all providers in zip 32210 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| 1366052623 | New Horizons Supports & Services Inc. | Clinic/Center | 101 Century 21 Dr Ste 203, Jacksonville, FL 32216-9293 | 2020-08-03 |
| 1861041220 | Markedia Louise Daniels | Clinic/Center | 2482 Wylene St, Jacksonville, FL 32209-4576 | 2019-09-09 |
| 1699320838 | True Angels Provider Care Services LLC | Clinic/Center | 5115 Clarendon Rd, Jacksonville, FL 32205-7205 | 2019-08-05 |
| 1538728001 | Tammy Toombs | Clinic/Center | 6722 Arlington Expy, Jacksonville, FL 32211-7234 | 2019-06-10 |
| 1063970358 | Katrina M Johnson | Clinic/Center | 10225 Magnolia Ridge Dr, Jacksonville, FL 32210-4991 | 2019-03-06 |
| 1306303235 | A Bit Above Support Services | Clinic/Center | 6120 Golden Grove Rd W, Jacksonville, FL 32244-2633 | 2019-02-27 |
| 1851880793 | Keiarra Hendrick | Clinic/Center | 250 Cherry Ridge Dr Apt 1021, Jacksonville, FL 32222 | 2018-05-07 |
| 1336638782 | Sharlana Wilson | Clinic/Center | 7854 Smyrna St, Jacksonville, FL 32208-3160 | 2018-05-01 |
| 1770088346 | Marquita Lashell Tinney | Clinic/Center | 9086 Gloucestershire Ct, Jacksonville, FL 32219-4398 | 2018-03-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32210 |
Please comment or provide details below to improve the information on RIVER CITY COMPANIONSHIP LLC.
| 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.