Brown'S Transitional Supported Living of FL,LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BROWN'S TRANSITIONAL SUPPORTED LIVING OF FL,LLC

Practice address

5831 Liska Dr
Jacksonville, FL 32244-2183

Phone

(904) 651-6049

NPI assigned

Jan 2, 2018

Organization subpart

No

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

Authorized official

Name

Jacqueline Smith-BrownNPI 1497880587

Title

Owner/Operator

Phone

(904) 651-6049

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jacqueline Smith-Brown, M.A.

  • Social Worker
  • Jacksonville, FL
  • NPI 1497880587
  NPD Authorized official

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1346757259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 LISKA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322442183",
            "telephone_number": "904-651-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 LISKA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322442183",
            "telephone_number": "904-651-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN'S TRANSITIONAL SUPPORTED LIVING OF FL,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "SMITH-BROWN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "904-651-6049"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vondasa Regina Brown
• Walter Brown III, RRT
• Waverlynne Marie Brown, RBT
• Winter Omega Brown, APRN
• Zachary Edward Brown, MD
• Browning Concierge Medicine Inc
• Browning Fast Friendly Care Services LLC
• Arthur W. Browning Jr., MD
• Betsy L Browning
• Carol Leanne Browning, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.