Provider Type Icon

JEROME GREENFIELD NPI 1982131975


NPI Information

NPI: 1982131975
Provider Name: JEROME GREENFIELD
Classification: Adult Companion - 372600000X
Entity Type: Individual
Address:
13464 YELLOW BLUFF RD
JACKSONVILLE, FL
ZIP 32226
Phone: (904) 601-8846
Get Directions

Jerome Greenfield is an adult companion in Jacksonville, FL. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. Jerome Greenfield NPI is 1982131975. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13464 YELLOW BLUFF RD
JACKSONVILLE, FL
ZIP 32226-803
Phone: (904) 601-8846

The enumeration date for this NPI number is 5/22/2017 and was last updated on 5/22/2017.


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
1372600000XAdult CompanionG651439774020FLORIDANo
2372600000XAdult CompanionYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G651-439-77-402-0MEDICAIDFLORIDA

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.