Harris House Adult Day Care Center

Primary specialty

Respite CareTaxonomy code 385H00000X

License

9014 Issued in FL

Legal business name

HARRIS HOUSE ADULT DAY CARE CENTER

Practice address

9857 Gibson Ave
Jacksonville, FL 32208-1213

Phone

(904) 768-1283

Fax

(904) 768-1180

NPI assigned

Aug 14, 2013

Organization subpart

No

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

Authorized official

Name

Renee HarrisNPI 1205241767

Title

Ceo

Phone

(904) 343-7411

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, Inc.

  • Nursing Care Agency
  • Jacksonville, FL
  • NPI 1255635538
  NPD tax ID

Practitioners 1

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

• Renee Harris

  • Community Health Worker
  • Jacksonville, FL
  • NPI 1205241767
  NPD (past) Authorized official

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1285067256",
    "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",
            "telephone_number": "904-768-1283",
            "fax_number": "904-768-1180"
        },
        {
            "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": "904-768-1283",
            "fax_number": "904-768-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS HOUSE ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-343-7411"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "9014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687233600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asionna Harrington-Killila
• Jessie Carson Harrington, CF-SLP
• Nicolas Harrington
• Sean Harrington, MSW, LCSW
• Jody Ann Harris Baez, RBT
• Harris House Adult Day Care Center, Inc.
• Harris in Home Supportive Care
• Harris Wilcox and Donovan PA
• Alan J. Harris, PH.D.
• Amy Solomon Harris, PHARMD.

• Respite Care in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.