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DANIEL MEMORIAL INC. NPI 1346205861


NPI Information

NPI: 1346205861
Provider Name: DANIEL MEMORIAL, INC.

Other Name: DANIEL

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3725 BELFORT RD
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 296-1055
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DANIEL MEMORIAL, INC. is a community behavioral health in Jacksonville, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DANIEL MEMORIAL, INC. NPI is 1346205861. The provider is registered as an organization entity type.
The provider Other Name Is Daniel.

The provider's business location address is:

3725 BELFORT RD
JACKSONVILLE, FL
ZIP 32216-813
Phone: (904) 296-1055
Fax: (904) 448-7700

The provider's authorized official is Felipe Pia .
The authorized official title is Cfo and has the following contact phone number (904) 296-1055.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 10/8/2019.


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
1251B00000XCase ManagementNo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
3323P00000XPsychiatric Residential Treatment FacilityNo
4251S00000XCommunity/Behavioral HealthYes

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
1060849100MEDICAIDFLORIDA
2060849103MEDICAIDFLORIDA
3060849102MEDICAIDFLORIDA
4060849116MEDICAIDFLORIDA

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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