Care Centers of Nassau, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

40950955 Issued in FL

Legal business name

CARE CENTERS OF NASSAU, LLC

Practice address

95146 Hendricks Rd
Fernandina Beach, FL 32034

Phone

(904) 261-5518

Fax

(904) 261-5517

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Jamison, RN

Title

Administrator

Phone

(904) 261-5518

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• GF Amelia Island Properties, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1659448306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95146 HENDRICKS RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "904-261-5518",
            "fax_number": "904-261-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95146 HENDRICKS RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "904-261-5518",
            "fax_number": "904-261-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CENTERS OF NASSAU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-261-5518",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "4010096",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "40950955",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "40950956",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "028539100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028539100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028539196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GF Amelia Island Properties, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bznga LLC
• Camen Academy LLC
• Wileta Nicole Campbell
• Candece Tierney Ma
• Care a Van Consolidated Transportation
• Care First Ambulette Service LLC
• Giorgia Carletti, DC
• Cariann Carlson, RN, IBCLC
• Lynn Ann Carper, M.S. CCC-SLP
• Kimberly M Carroll, PT

• Intellectual Disabilities Intermediate Care Facility in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Intellectual Disabilities Intermediate Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.