Organization Active NPI

Dedicated Care Support Services

  • Case Management Agency
  • Jacksonville, FL
National Provider Identifier
1639586357
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DEDICATED CARE SUPPORT SERVICES
Practice address
1010 E Adams St
Suite 235
Jacksonville, FL 32202-1902
Phone
(904) 328-0190
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Ophelia WebbNPI 1891121794
Title
Ceo
Phone
(904) 328-0190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1010 E Adams St
Suite 235
Jacksonville, FL 32202-1902

Mailing address

PO Box 9154
Jacksonville, FL 32208-0154
Phone (904) 328-0190

National Provider Directory

National Provider Directory

Locations

1010 E Adams St
Ste 235
Jacksonville, FL 32202
Phone (904) 328-0190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1639586357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9154",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322080154",
            "telephone_number": "904-328-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E ADAMS ST",
            "address_2": "SUITE 235",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322021902",
            "telephone_number": "904-328-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED CARE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "OPHELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-328-0190"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "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 Jul 15, 2014; 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.