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SHIPP ADULT FAMILY CARE HOME NPI 1851711279


NPI Information

NPI: 1851711279
Provider Name: SHIPP ADULT FAMILY CARE HOME

Doing Business As: DELOIS SHIPP

Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
8942 6TH AVE
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 766-1850
Get Directions

SHIPP ADULT FAMILY CARE HOME is a residential treatment facility physical disabilities in Jacksonville, FL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. SHIPP ADULT FAMILY CARE HOME NPI is 1851711279. The provider is registered as an organization entity type.
The provider Is Doing Business As Delois Shipp.

The provider's business location address is:

8942 6TH AVE
JACKSONVILLE, FL
ZIP 32208-126
Phone: (904) 766-1850
Fax: (904) 766-1850

The provider's authorized official is Delois W Shipp .
The authorized official title is Administrator and has the following contact phone number (904) 766-1850.

The enumeration date for this NPI number is 4/24/2014 and was last updated on 9/14/2015.


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
1320700000XResidential Treatment Facility, Physical DisabilitiesAF33FLORIDAYes

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
1141412700MEDICAIDFLORIDA

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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