Ms. Jennie's Place Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MS. JENNIE'S PLACE INC

Practice address

924 N Magnolia Ave Ste 320
Orlando, FL 32803-3850

Phone

(407) 496-6673

NPI assigned

Oct 27, 2023

Organization subpart

No

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

Authorized official

Name

Randolph Bracy

Title

Ceo

Phone

(407) 274-5405

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1265204762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692286",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328692286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N MAGNOLIA AVE STE 320",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033850",
            "telephone_number": "407-496-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS. JENNIE'S PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "BRACY",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-274-5405"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MRB Non-Emergency Transportation Services
• MRC Dental Group
• MRI and 3D Diagnostic Center LLC
• MRM Treatment Inc
• Ms Nats Services LLC (Natalie Washington)
• Mso of Florida, Inc
• Msri Investments LLC
• Haley Mt.Joy, PA-C
• MTD Galaxy LLC. (My Passion Home Care)
• MTM on the Go

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.