Harris House Adult Day Care Center, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

9014 Issued in FL

Legal business name

HARRIS HOUSE ADULT DAY CARE CENTER, INC.

Practice address

9857 Gibson Ave
Jacksonville, FL 32208-1213

Phone

(904) 425-4040

NPI assigned

Dec 31, 2010

Organization subpart

No

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

Authorized official

Name

Renee Harris

Title

Ceo

Phone

(904) 425-4040

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Harris House Adult Day Care Center2 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.

• Harris House Adult Day Care Center

  • Respite Care
  • Jacksonville, FL
  • NPI 1285067256
  NPD tax ID

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

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293753600000",
    "number": "1255635538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9857 GIBSON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9857 GIBSON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081213",
            "telephone_number": "904-425-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS HOUSE ADULT DAY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-31",
        "last_updated": "2010-12-31",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-425-4040"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "9014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687233600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Carson Harrington, CF-SLP
• Nicolas Harrington
• Sean Harrington, MSW, LCSW
• Jody Ann Harris Baez, RBT
• Harris House Adult Day Care Center
• Harris in Home Supportive Care
• Harris Wilcox and Donovan PA (Clay Eye Physicians and Surgeons, PA- Mandarin)
• Alan J. Harris, PH.D.
• Amy Solomon Harris, PHARMD.
• Ashley N Harris, ARNP

• Nursing Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; 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.