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KEEPSAFE CENTER INC. NPI 1104822923


NPI Information

NPI: 1104822923
Provider Name: KEEPSAFE CENTER, INC.

Other Name: KEEPSAFE ADULT DAY CARE

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
5626 SOUTEL DR
JACKSONVILLE, FL
ZIP 32219
Phone: (904) 768-6456
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KEEPSAFE CENTER, INC. is a point of service in Jacksonville, FL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. KEEPSAFE CENTER, INC. NPI is 1104822923. The provider is registered as an organization entity type.
The provider Other Name Is Keepsafe Adult Day Care.

The provider's business location address is:

5626 SOUTEL DR
JACKSONVILLE, FL
ZIP 32219-772
Phone: (904) 768-6456
Fax: (904) 765-0264

The provider's authorized official is Hermonyone W Walker .
The authorized official title is Administrator and has the following contact phone number (904) 768-6456.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 8/22/2020.


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
1305S00000XPoint of ServiceN11795FLORIDAYes

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

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