Nevaeh II (MH-TCM) Personal Development & Supports Ic.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NEVAEH II (MH-TCM) PERSONAL DEVELOPMENT & SUPPORTS IC.

Practice address

5150 Timuquana Rd Ste 14
Jacksonville, FL 32210-8925

Phone

(904) 386-3901

NPI assigned

Jan 29, 2014

Last updated

Jan 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa MitchellNPI 1235553538

Title

President

Phone

(904) 386-3901

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Mitchell

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1235553538
  NPD (past) Authorized official

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1215350178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 TIMUQUANA RD STE 14",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108925",
            "telephone_number": "904-386-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 TIMUQUANA RD STE 14",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108925",
            "telephone_number": "904-386-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVAEH II (MH-TCM) PERSONAL DEVELOPMENT & SUPPORTS IC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-386-3901"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurosursery & Orthopedic Institute of Florida LLC (Amos O Dare. MD. PA)
• Neurotech NA, Inc.
• Neurrizon Psychiatry Wellness, LLC
• Gianna Neutts
• Nevaeh Community Care Inc.
• Nevaeh Pure Heart Services, LLC
• Inna Nevelev, DDS
• Jodi R. Nevers, LMFT
• Cynthia Elizabeth Neville, PT, DPT
• Melissa Harper Nevin

• Case Management Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.