Organization Active NPI

Right Time, Right Place LLC

  • Assisted Living Facility (Mental Illness)
  • Jacksonville, FL
National Provider Identifier
1063834729
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
RIGHT TIME, RIGHT PLACE LLC
Practice address
6140 Cleveland Rd
Jacksonville, FL 32209-1904
Phone
(904) 405-5767
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Kensly Terrell Johnson Sr.
Title
Director
Phone
(904) 766-7885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

6140 Cleveland Rd
Jacksonville, FL 32209-1904

Mailing address

6140 Cleveland Rd
Jacksonville, FL 32209-1904

Other identifiers 1

IdentifierTypeStateIssuer
008139900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1063834729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 CLEVELAND RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322091904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 CLEVELAND RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322091904",
            "telephone_number": "904-405-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGHT TIME, RIGHT PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENSLY",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-766-7885",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008139900",
            "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 Jan 16, 2014; 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.