Annie Carol Monroe

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ANNIE CAROL MONROE

Practice address

8372 Country Creek Blvd
Jacksonville, FL 32221-6685

Phone

(904) 783-9448

NPI assigned

Oct 15, 2013

Organization subpart

No

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

Authorized official

Name

Annie Carol Monroe

Title

Owner

Phone

(904) 783-9448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1003244823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8372 COUNTRY CREEK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322216685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8372 COUNTRY CREEK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322216685",
            "telephone_number": "904-783-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE CAROL MONROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-783-9448"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.