Medallion Health Crae Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MEDALLION HEALTH CRAE SERVICES, LLC

Practice address

9951 Atlantic Blvd
Suite 319
Jacksonville, FL 32225-6584

Phone

(904) 371-2800

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Keona Barnwell

Title

Ceo

Phone

(904) 371-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrinka Belford

  • Social Worker
  • Jacksonville, FL
  • NPI 1295106656
  NPD (past)
• Tiana Deas

  • Social Worker
  • Jacksonville, FL
  • NPI 1710374541
  NPD (past)

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1588041743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD",
            "address_2": "SUITE 319",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256584",
            "telephone_number": "904-371-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD",
            "address_2": "SUITE 319",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256584",
            "telephone_number": "904-371-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLION HEALTH CRAE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "BARNWELL",
        "authorized_official_first_name": "KEONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-371-2800"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000661201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Med Quality Transport, Inc.
• Med Transport Services LLC
• Med Waiver Solutions LLC
• Med-Care MD PA
• Medallion Care Services FL PA
• Brenda Medders, MSW
• Jamey Medders, CAA
• Jennifer Meder, RDN
• Saily Medero, RDN
• Natasha Mederos Rocha

• Case Management Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.