STEPHANIE'S LOVE & CARE (ALF) (NPI# 1861896284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861896284 |
Entity Type | Organization |
Organization Name | STEPHANIE'S LOVE & CARE (ALF) |
Other Organization Name | NA |
Practice Address |
3056 W 1st St Jacksonville FL 32254-2539 |
Practice Telephone | 9043887086 |
Mailing Telephone | 9043887086 |
Enumeration Date | 2014-10-14 |
Last Update Date | 2014-10-14 |
Authorized Official Name | STEPHANIE L BELLAMY (OWNER/ADMINISTRATOR) |
Authorized Official Telephone | 9043887086 |
Authorized Official Credential | ASSISTED LIVING |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL10793 | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 142571400 | 05 | |
FL | NPI | 1801198460 | 01 |
Other Name | Type Code |
---|---|
na | Doing Business As Name - Organization |
Street Address |
3056 W 1ST ST |
City | JACKSONVILLE |
State | FL |
Zip Code | 32254-2539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639683360 | Clear Pathways for Independence LLC | Clinic/Center | 3056 W 1st St, Jacksonville, FL 32254-2539 | 2017-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730673385 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 W Palm Ave Ste 210, Jacksonville, FL 32254 | 2018-06-18 |
1578072112 | Jules M Jean-pierre | Counselor | 2392 North Edgewood Avenue, Jacksonville, FL 32254 | 2017-09-27 |
1356869051 | Volaura Shanae Anderson | Counselor | 590 Ellis Rd, Jacksonville, FL 32254 | 2017-09-01 |
1962928291 | Angel Spivie | Counselor | 590 Ellis Road South Building 4, Jacksonville, FL 32254 | 2017-08-18 |
1376072777 | Tarkeshia Shuman | Contractor | 3150 Broadway Ave, Jacksoville, FL 32254 | 2017-06-08 |
1770931636 | Mamie Faith Peterson-mclaurn | Home Health | 2747 Sophia St, Jax, FL 32254 | 2016-06-01 |
1760803373 | Marian Lavonne Jones | Custodial Care Facility | 3501 Centerhill Dr. North, Jacksonville, FL 32254 | 2013-12-27 |
1659543981 | Monique Bosque-perez | Family Medicine | 781 Edgewood Ave N, Ufjp Commonwealth Family Practice, Jacksonville, FL 32254 | 2008-03-26 |
1508906652 | James Keith Riesz | Physical Therapist | 800 Lomax Street, Suite 105, Jacksonville, FL 32254 | 2007-02-07 |
1003903865 | Sabrina F Sessions | Pharmacist | 5050 Edgewood Court, Jacksonville, FL 32254 | 2006-10-05 |
Find all providers in zip 32254 |
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 |
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 |
1447567540 | Second Beginnings Alf | Assisted Living Facility | 7306 Maple Tree Dr, Jacksonville, FL 32277-2806 | 2010-09-10 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32254 |
Please comment or provide details below to improve the information on STEPHANIE'S LOVE & CARE (ALF).
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.