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ARC CARRIAGE CLUB OF JACKSONVILLE INC. NPI 1255633681


NPI Information

NPI: 1255633681
Provider Name: ARC CARRIAGE CLUB OF JACKSONVILLE, INC.

Doing Business As: CARRIAGE CLUB OF JACKSONVILLE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
9601 SOUTHBROOK DR
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 641-7501
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ARC CARRIAGE CLUB OF JACKSONVILLE, INC. is an assisted living facility in Jacksonville, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ARC CARRIAGE CLUB OF JACKSONVILLE, INC. NPI is 1255633681. The provider is registered as an organization entity type.
The provider Is Doing Business As Carriage Club Of Jacksonville.

The provider's business location address is:

9601 SOUTHBROOK DR
JACKSONVILLE, FL
ZIP 32256-601
Phone: (904) 641-7501
Fax: (904) 646-4055

The provider's authorized official is Mark Ohlendorf .
The authorized official title is Co-president and has the following contact phone number (414) 918-5000.

The enumeration date for this NPI number is 11/17/2010 and was last updated on 11/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.