Porter's Adult Care Inc,

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12235 Issued in FL

Legal business name

PORTER'S ADULT CARE INC,

Practice address

700 Day Ave
Jacksonville, FL 32205-5504

Phone

(904) 349-1420

NPI assigned

Feb 2, 2014

Last updated

Aug 29, 2024By 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

Lashana Medina Porter

Title

Administrator

Phone

(904) 930-7579

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1391299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1528481108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 DAY AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322055504",
            "telephone_number": "904-349-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 DAY AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322055504",
            "telephone_number": "904-349-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER'S ADULT CARE INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-02",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LASHANA",
        "authorized_official_middle_name": "MEDINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-930-7579"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12235",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty D Porter, B.A.
• Phyllis Diane Porter
• Shimol Porter
• Steven Porter, MD
• Tekia J Porter
• Porter's Ault Care
• Sephora Portier, LCSW
• Drina Geraldine Portman, DNP, APRN-BC
• Natalie Portman, CD(DONA)
• Vanessa Hearnshaw Portman, PT

• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.