Organization Active NPI

Linders Adult Family Care Home

  • Adult Care Home Facility
  • Jacksonville, FL
National Provider Identifier
1003118902
Registry record updated Nov 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AF6905368 Issued in FL
Legal business name
LINDERS ADULT FAMILY CARE HOME
Practice address
431 Chestnut Dr
Jacksonville, FL 32208-5107
Phone
(904) 764-6219
NPI assigned
Nov 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Emma Jean Linder
Title
Provider
Phone
(904) 764-6219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AF6905368 FL Primary

Addresses

Primary practice location

431 Chestnut Dr
Jacksonville, FL 32208-5107

Mailing address

431 Chestnut Dr
Jacksonville, FL 32208-5107
Phone (904) 764-6219

Other identifiers 1

IdentifierTypeStateIssuer
141567100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290816000000",
    "number": "1003118902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 CHESTNUT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322085107",
            "telephone_number": "904-764-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 CHESTNUT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322085107",
            "telephone_number": "904-764-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDERS ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-27",
        "last_updated": "2010-11-27",
        "status": "A",
        "authorized_official_last_name": "LINDER",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "904-764-6219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "AF6905368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141567100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.