NPIMap

Organization Active NPI

Salem Homes of Florida, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Jacksonville, FL
National Provider Identifier
1275969461
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
4109096 Issued in FL
Legal business name
SALEM HOMES OF FLORIDA, INC.
Practice address
11818 High Desert CT
Jacksonville, FL 32218-3629
Phone
(352) 372-0130
NPI assigned
Sep 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Ms. Deena G. Ombres
Title
Assoc. Gen. Counsel/Privacy Officer
Phone
(502) 394-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 4109096 FL Primary

Addresses

Primary practice location

11818 High Desert CT
Jacksonville, FL 32218-3629

Mailing address

9901 Linn Station Rd
Louisville, KY 40223-3808

Other names 1

  • High Desert Court Group Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Salem Homes of Florida Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1275969461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 HIGH DESERT CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322183629",
            "telephone_number": "352-372-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HOMES OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "OMBRES",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ASSOC. GEN. COUNSEL/PRIVACY OFFICER",
        "authorized_official_telephone_number": "502-394-2100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "4109096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Court Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.