North Point Community Residential Facility, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12100 Issued in FL

Legal business name

NORTH POINT COMMUNITY RESIDENTIAL FACILITY, INC.

Practice address

1937 College Cir N
Jacksonville, FL 32209-5954

Phone

(904) 355-9386

Fax

(904) 598-5336

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Marilyn Louise Mills, RN

Title

Administrator

Phone

(904) 635-0346

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1649535311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 COLLEGE CIR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322095954",
            "telephone_number": "904-355-9386",
            "fax_number": "904-598-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 COLLEGE CIR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322095954",
            "telephone_number": "904-355-9386",
            "fax_number": "904-598-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH POINT COMMUNITY RESIDENTIAL FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-635-0346",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004722500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Jacksonville, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.