STEPHANIE'S LOVE & CARE (ALF)


Address: 3056 W 1st St, Jacksonville, FL 32254-2539
Phone: 9043887086

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 142571400 05
FL NPI 1801198460 01

Other Provider/Organization Names

Other Name Type Code
na Doing Business As Name - Organization

Office Location

Street Address 3056 W 1ST ST
City JACKSONVILLE
State FL
Zip Code 32254-2539

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NPI Name Taxonomy Address Enumeration
1639683360 Clear Pathways for Independence LLC Clinic/Center 3056 W 1st St, Jacksonville, FL 32254-2539 2017-11-16

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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
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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
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
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Competitor

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City JACKSONVILLE
Zip Code 32254

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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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