Compassionate Caregiver Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL11371 Issued in FL

Legal business name

COMPASSIONATE CAREGIVER INC

Practice address

2217 Perry PL
Jacksonville, FL 32207-3465

Phone

(904) 398-0734

Fax

(904) 398-0734

NPI assigned

Sep 21, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Ann MillerNPI 1821415167

Title

Administrator

Phone

(904) 398-0734

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Miller

  • Assisted Living Facility (Mental Illness)
  • Jacksonville, FL
  • NPI 1821415167

  Assisted Living, Mental Illness

  NPD (past) Authorized official

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

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1023268570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 PERRY PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073465",
            "telephone_number": "904-398-0734",
            "fax_number": "904-398-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 PERRY PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073465",
            "telephone_number": "904-398-0734",
            "fax_number": "904-398-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CAREGIVER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-21",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-398-0734",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL11371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAVIER PROVIDER",
            "identifier": "6930506 96",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Compassionate Reliable Hands
• Jean Guitho Compere

• Assisted Living Facility (Mental Illness) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.