Operation Community Restore

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OPERATION COMMUNITY RESTORE

Practice address

204 N Washington St
Jacksonville, FL 32202-2809

Phone

(904) 352-1417

Fax

(904) 352-1416

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Ladi Anita March

Title

Owner

Phone

(904) 352-1417

Specialties & licenses 2

Addresses

Other names 1

• OCR Group Home & Assisted Living Doing business as

Locations

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1326383852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N WASHINGTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022809",
            "telephone_number": "904-352-1417",
            "fax_number": "904-352-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N WASHINGTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022809",
            "telephone_number": "904-352-1417",
            "fax_number": "904-352-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPERATION COMMUNITY RESTORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "MARCH",
        "authorized_official_first_name": "LADI",
        "authorized_official_middle_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-352-1417",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCR Group Home & Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.