Jerri's Place, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

9329 Issued in FL

Legal business name

JERRI'S PLACE, LLC

Practice address

624 W 5TH St
Lakeland, FL 33805-4316

Phone

(863) 934-8028

Fax

(863) 934-8028

NPI assigned

Dec 11, 2015

Last updated

Dec 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline G. McGordon

Title

Adm. / Owner

Phone

(863) 934-8028

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1437524709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90154",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338040154",
            "telephone_number": "863-687-6401",
            "fax_number": "863-687-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W 5TH ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054316",
            "telephone_number": "863-934-8028",
            "fax_number": "863-934-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRI'S PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "MCGORDON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADM. / OWNER",
        "authorized_official_telephone_number": "863-934-8028",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabell Jensen
• Jer Health Group LLC
• Warren Dominick Jergins, CST
• Sandra Jerles, LMT
• Jacob A Jernigan, DO
• Analece Jester, RBT
• Joseph Jiannetti, PHARMD
• Keishla Jimenez Nieves, PT, DPT
• Armando Jimenez, M.D.
• Ilen Jimenez

• Adult Day Care Clinic/Center in Lakeland, FL
• Providers in Lakeland, 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 Dec 11, 2015; 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.