Reffines House

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11189

Legal business name

REFFINES HOUSE

Practice address

523 Fern St
Jacksonville, FL 32206-6238

Phone

(904) 379-2061

NPI assigned

Dec 28, 2017

Organization subpart

No

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

Authorized official

Name

Tiki StaffordNPI 1427234152

Title

Administartor

Phone

(904) 233-1090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tiki Stafford Doing business as

Tax ID family

Diversity Me2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tiki Stafford

  • Assisted Living Facility
  • Jacksonville, FL
  • NPI 1225544208
  NPD tax ID

Practitioners 1

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

• Tiki Stafford

  • Lodging Provider
  • Jacksonville, FL
  • NPI 1427234152
  NPD (past) Authorized official

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1104332188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 FERN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322066238",
            "telephone_number": "904-379-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 FERN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322066238",
            "telephone_number": "904-379-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFFINES HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "TIKI",
        "authorized_official_title_or_position": "ADMINISTARTOR",
        "authorized_official_telephone_number": "904-233-1090"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": "AL11189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143051300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiki Stafford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marghani Marie Reever, PHD, LCSW
• Alexandra Saxman Reeves, LMHC
• Ashley Reeves, APRN
• Emily K Reeves, BCBA
• Shariq Refai, M.D.
• Refined Beginnings Counseling, LLC
• Refined Medical Group LLC
• Reflections Wound Care and Wellness Centers
• Refocus Rehabilitation LLC
• Refuat Hanefesh Care, Inc.

• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.