GLORIA MILLER (NPI# 1821415167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821415167 |
| Entity Type | Individual |
| Full Name | GLORIA MILLER |
| Practice Address |
2217 Perry Pl 2217 Perry Place Jacksonville FL 32207-3465 |
| Mailing Address |
2217 Perry Pl Jacksonville FL 32207-3465 |
| Practice Telephone | 9043980734 |
| Practice Fax Number | 9043994146 |
| Mailing Telephone | 9043980734 |
| Mailing Fax Number | 9043994146 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL11371 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 693050696 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588104129 | Gloria Miller | Speech-Language Pathologist | 34 W Kapok Dr, Newark, DE 19702-6112 | 2017-03-01 |
| 1396050084 | Gloria Arredondo Miller | Pharmacist | 602 Walnut Hill St, San Antonio, TX 78232-2713 | 2010-08-18 |
| 1780777250 | Gloria N Miller | Counselor | 106 Farrar Dr Ste 109, Cape Girardeau, MO 63701-4912 | 2006-10-02 |
| 1801808738 | Gloria Jean Miller | Psychologist | 2419 Kaylonni Circle, Van Buren, AR 72956 | 2006-08-12 |
| 1386124642 | Gloria Daveda Miller | Physical Therapist | 809 Ne 4th St, Kerens, TX 75144-2715 | 2018-08-16 |
| 1871081257 | Gloria Miller | Social Worker | 6629 W Central Ave, Toledo, OH 43617-1098 | 2018-05-01 |
| 1508289620 | Gloria Miller | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2014-01-24 |
| 1023375219 | Gloria J. Miller | Counselor | 1400 Cleveland St, Greenville, SC 29607-2410 | 2012-04-12 |
| 1669763504 | Gloria Carol Miller | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2011-04-26 |
| 1851696066 | Gloria M Miller | Occupational Therapist | 2495 Main St, Suite 234, Buffalo, NY 14214-2152 | 2011-01-19 |
| Street Address |
2217 PERRY PL 2217 PERRY PLACE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-3465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023268570 | Compassionate Caregiver Inc | Assisted Living Facility | 2217 Perry Pl, Jacksonville, FL 32207-3465 | 2008-09-21 |
| 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 | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548826480 | Comfort Alf LLC | Assisted Living Facility | 2122 N Myrtle Ave, Jacksonville, FL 32209-5633 | 2019-05-16 |
| 1194113670 | Bishop Home Care Inc | Assisted Living Facility | 16308 Magnolia Grove Way, Jacksonville, FL 32218-0116 | 2015-01-06 |
| 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 |
| 1679997704 | Watts Guardian Care, Inc. | Assisted Living Facility | 7217 Eudine Dr N, Jacksonville, FL 32210-2628 | 2014-02-10 |
| 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 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on GLORIA MILLER.
| 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.