Organization Active NPI

Martha's Adult Daycare & Services, Inc.

  • Adult Day Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1518309319
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9249 Issued in FL
Legal business name
MARTHA'S ADULT DAYCARE & SERVICES, INC.
Practice address
1680 Dunn Ave. Units 23, 24, 25
Jacksonville, FL 32218-4782
Phone
(904) 766-0496
Fax
(904) 766-0497
NPI assigned
Jul 22, 2013
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Mary Martha Jones-Walker
Title
Owner/President
Phone
(904) 766-0496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9249 FL Primary

Addresses

Primary practice location

1680 Dunn Ave. Units 23, 24, 25
Jacksonville, FL 32218-4782

Mailing address

8668 Lem Turner Rd
Jacksonville, FL 32208-2667
Phone (904) 766-0496

National Provider Directory

National Provider Directory

Locations

1680 Dunn Ave
Ste 23
Jacksonville, FL 32218
Phone (904) 766-0496

8668 Lem Turner Rd
Jacksonville, FL 32208

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1518309319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8668 LEM TURNER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082667",
            "telephone_number": "904-766-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 DUNN AVE. UNITS 23, 24, 25",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184782",
            "telephone_number": "904-766-0496",
            "fax_number": "904-766-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA'S ADULT DAYCARE & SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "JONES-WALKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "904-766-0496"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.