Urban Jacksonville, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

URBAN JACKSONVILLE, INC

Practice address

604 Walnut St
Green Cove Springs, FL 32043-3322

Phone

(904) 284-3134

Fax

(904) 284-0296

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Teresa K Barton

Title

Ceo

Phone

(904) 807-1240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aging True Doing business as

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1376769596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 LAKESIDE DR STE 116",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103300",
            "telephone_number": "904-807-1203",
            "fax_number": "904-807-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 WALNUT ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320433322",
            "telephone_number": "904-284-3134",
            "fax_number": "904-284-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Lakeside Dr Ste 116",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322103300",
            "country_code": "US",
            "telephone_number": "904-807-1203",
            "fax_number": "904-807-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "URBAN JACKSONVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-807-1240"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127355400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aging True",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Marie Tolosky, RPH
• Rebecca Topp
• Nicholas Torres, NREMTP
• Total Lab Diagnostics LLC
• Simone Ullisse
• Kreistopher Valdes, D.C.
• Vesmina L Vanta, RPT
• Raul Lazaro Vega, PTA
• John Dennis Verville, D.D.S.
• Vikrambeherallc

• Adult Day Care Clinic/Center in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.