Organization Active NPI

BJ & D Community Support Services

  • Case Manager/Care Coordinator
  • Jacksonville, FL
National Provider Identifier
1689528176
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
BJ & D COMMUNITY SUPPORT SERVICES
Practice address
1255 Orton St
Jacksonville, FL 32205-6348
Phone
(904) 343-9230
NPI assigned
Feb 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Ms. Merticia BlackNPI 1205655198
Title
Owner
Phone
(904) 343-9230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

1255 Orton St
Jacksonville, FL 32205-6348

Mailing address

1255 Orton St
Jacksonville, FL 32205-6348
Phone (904) 343-9230

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1689528176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 ORTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056348",
            "telephone_number": "904-343-9230",
            "fax_number": "904-369-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ORTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056348",
            "telephone_number": "904-343-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJ & D COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MERTICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-343-9230",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 23, 2026; 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.