BISHOP HOME CARE, INC (NPI# 1912202136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912202136 |
| Entity Type | Organization |
| Organization Name | BISHOP HOME CARE, INC |
| Other Organization Name | BISHOP CHRISTIAN HOME |
| Practice Address |
1627 E 8th Street Jacksonville FL 32206 |
| Practice Telephone | 9043559731 |
| Practice Fax Number | 9043550787 |
| Mailing Telephone | 9043559731 |
| Mailing Fax Number | 9043550787 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | MARY R MCGEE (PRESIDENT) |
| Authorized Official Telephone | 9043559731 |
| Is Organization Subpart | Y |
| Parent Organization Name | BISHOP HOME CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
9137 | FL | Ambulatory Health Care Facilities |
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002279200 | 05 |
| Other Name | Type Code |
|---|---|
| Bishop Christian Home | Doing Business As Name - Organization |
| Street Address |
1627 E 8TH STREET |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275543 | Marvin Victor Sindel IIi | Nurse Practitioner | 1241 E 8th St, Jacksonville, FL 32206 | 2018-05-17 |
| 1982126553 | Marcia Camille Holloway | In Home Supportive Care | 647 East 31th Street, Jacksonville, FL 32206 | 2017-07-14 |
| 1407302656 | Tahnita Fleming | Day Training, Developmentally Disabled Services | 1309 Van Buren Street, Jacksonville, FL 32206 | 2016-08-28 |
| 1407183965 | Richard Adam Crosby | Chiropractor | 4211 North Pearl St., Jacksonville, FL 32206 | 2009-11-04 |
| 1346494903 | Delvenia Renee Mitchell | Specialist | 4515 N Pearl St Apt 2, Jacksonville, FL 32206 | 2008-11-10 |
| 1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
| 1932253879 | Gale Marie Cohen-weiss | Social Worker | Veterans Health System, Jacksonville Outpatient Clinic, 1833 Boulevard, Jacksonville, FL 32206 | 2007-01-22 |
| 1396817557 | Bella Caimol Ejercito | Internal Medicine | 4608 Norwood Ave, Jacksonville, FL 32206 | 2006-11-14 |
| 1962584433 | Jessica Ivette Warthen | Pharmacist | 1833 Boluevard, Department of Veterans Affairs; Mental Health Clinic, Jacksonville, FL 32206 | 2006-10-20 |
| 1902905953 | Belinda L Ferrer-mansoori | Dietitian, Registered | Jacksonville Va Outpatient Clinic, 1833 Boulevard, Jacksonville, LA 32206 | 2006-09-22 |
| Find all providers in zip 32206 | ||||
| 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 | 32206 |
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| 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.