Keepsafe Center, Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

N11795 Issued in FL

Legal business name

KEEPSAFE CENTER, INC.

Practice address

5626 Soutel Dr
Jacksonville, FL 32219-3772

Phone

(904) 768-6456

Fax

(904) 765-0264

NPI assigned

Jun 27, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Hermonyone W Walker, MS

Title

Administrator

Phone

(904) 768-6456

Specialties & licenses 1

Addresses

Other names 1

• KEEPSAFE ADULT DAY CARE Other name

Locations

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104822923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 SOUTEL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322193772",
            "telephone_number": "904-768-6456",
            "fax_number": "904-765-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 SOUTEL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322193772",
            "telephone_number": "904-768-6456",
            "fax_number": "904-765-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEPSAFE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "HERMONYONE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-768-6456",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "N11795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEEPSAFE ADULT DAY CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina Darleene Keene, RN
• Rachel Keene
• Wendi Jean Keeney, RNFA
• Keep Evolving Beyond Therapy, Inc
• Keep Going Counseling, LLC
• Keepsake Learning Behavioral Services
• Justin Keeton, APRN
• Jessica Lynne Keever, FNP-BC
• Erica Keffer, PHARMD
• Samantha Kegel, MD

• Point of Service in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.