First Coast Community Support Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FIRST COAST COMMUNITY SUPPORT SERVICES

Practice address

1010 E Adams St
Suite 120
Jacksonville, FL 32202-1902

Phone

(904) 738-8579

Fax

(904) 619-7835

NPI assigned

Sep 17, 2013

Organization subpart

No

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

Authorized official

Name

Denise R Bivens

Title

Owner

Phone

(904) 738-8579

Specialties & licenses 1

Addresses

Tax ID family

First Coast Community Support Services2 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.

• First Coast Community Support Services

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1184296832
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• First Coast Community Support Services

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1184296832
  NPPES parent name

Practitioners 1

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

• Denise Boyd, BS

  • Social Worker
  • Jacksonville, FL
  • NPI 1033243159
  NPD

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1235565730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E ADAMS ST",
            "address_2": "SUITE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322021902",
            "telephone_number": "904-738-8579",
            "fax_number": "904-619-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E ADAMS ST",
            "address_2": "SUITE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322021902",
            "telephone_number": "904-738-8579",
            "fax_number": "904-619-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "BIVENS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-738-8579"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Coast Cardiovascular Surgical Center, LLC
• First Coast Caregivers, LLC
• First Coast Community Development
• First Coast Community Development
• First Coast Community Support Services
• First Coast Community Wellness Services LLC
• First Coast Counseling and Life Coaching, Inc.
• First Coast Counseling and Recovery
• First Coast Dental Center, PLLC
• First Coast Dermatology P a

• 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 Sep 17, 2013; 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.