NPIMap

Organization Active NPI

Reflections Manor

  • Adult Companion
  • Gainesville, FL
National Provider Identifier
1194487678
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
REFLECTIONS MANOR
Practice address
455 SE 13TH St
Gainesville, FL 32641-7127
Phone
(352) 339-4592
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Ms. Eustacia JohnsonNPI 1366268484
Title
Administrator
Phone
(352) 339-4592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X Primary

Addresses

Primary practice location

455 SE 13TH St
Gainesville, FL 32641-7127

Mailing address

455 SE 13TH St
Gainesville, FL 32641-7127
Phone (352) 339-4592

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL reflectionsgainesville@gmail.com Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1194487678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SE 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326417127",
            "telephone_number": "352-339-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SE 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326417127",
            "telephone_number": "352-339-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EUSTACIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-339-4592",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "reflectionsgainesville@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "reflectionsgainesville@gmail.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "455 SE 13th St",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326417127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.