SUPPORTING INDIVIDUALS WITH DISABILITIES INC NPI 1962250233

NPI Information

  • NPI: 1962250233
  • Provider Name: SUPPORTING INDIVIDUALS WITH DISABILITIES INC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 95129 SPRINGHILL RD
    FERNANDINA BEACH, FL
    ZIP 32034
  • Phone: (904) 507-9976

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NPI Details

SUPPORTING INDIVIDUALS WITH DISABILITIES INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Fernandina Beach, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SUPPORTING INDIVIDUALS WITH DISABILITIES INC NPI is 1962250233. The provider is registered as an organization entity type.

The provider's business location address is:

95129 SPRINGHILL RD
FERNANDINA BEACH, FL
ZIP 32034-410
Phone: (904) 507-9976

The provider's authorized official is Jessica D Freeman .
The authorized official title is Administrator and has the following contact phone number (904) 507-9976.

The enumeration date for this NPI number is 5/10/2024 and was last updated on 5/10/2024.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes
2385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo

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: 11/21/2025

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