Grown Folks Adult Social Center

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

9196 Issued in FL

Legal business name

GROWN FOLKS ADULT SOCIAL CENTER

Practice address

1823 University Blvd S
Jacksonville, FL 32216-8930

Phone

(904) 329-3503

Fax

(904) 329-3505

NPI assigned

Aug 9, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Anita Burney

Title

President

Phone

(904) 329-3503

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1376890301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 UNIVERSITY BLVD. S.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168930",
            "telephone_number": "904-329-3503",
            "fax_number": "904-329-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168930",
            "telephone_number": "904-329-3503",
            "fax_number": "904-329-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWN FOLKS ADULT SOCIAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "BURNEY",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-329-3503",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "9196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004757200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grow Strong Pediatric Therapy LLC
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• Kirsten Faith Growden, COTA
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• Growth Chiropractic LLC
• Madeline Grubb
• Melissa Grubb
• Benjamin Fredrick Gruenbaum, M.D., PH.D.
• Shaun Gruenbaum, MD

• Adult Care Home Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Care Home Facility in Florida

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