CORTNEY D DOUGLAS NPI 1568708139

NPI Information

NPI: 1568708139
Provider Name: CORTNEY D DOUGLAS
Classification: Respite Care - 385HR2060X
Entity Type: Individual

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
8203 NW 31ST AVE APT E29
GAINESVILLE, FL
ZIP 32606
Phone: (352) 870-1268
Get Directions

Cortney D Douglas is a respite care and mental retardation and/or developmental disabilities respite care in Gainesville, FL. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. Cortney D Douglas NPI is 1568708139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8203 NW 31ST AVE APT E29
GAINESVILLE, FL
ZIP 32606
Phone: (352) 870-1268

The enumeration date for this NPI number is 12/29/2012 and was last updated on 6/10/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	372600000X	Adult Companion		008397800	FLORIDA	No
2	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	008397800	FLORIDA	No
3	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	008397800	FLORIDA	Yes
4	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	008397800	FLORIDA	No
5	172V00000X	Community Health Worker				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008397800	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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