Peaches-NA-Basket Adult Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PEACHES-NA-BASKET ADULT DAY CARE

Doing business as

Peaches-NA-Basket Adult Day Care Center

Practice address

2040 Soutel Dr
Jacksonville, FL 32208-2280

Phone

(904) 766-4993

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Bertha Flemming, M.S.A.

Title

Executive Director

Phone

(904) 766-4993

Specialties & licenses 1

Addresses

Other names 1

• PEACHES-NA-BASKET ADULT DAY CARE CENTER Doing business as

Locations

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1720819915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 SOUTEL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 SOUTEL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082280",
            "telephone_number": "904-766-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHES-NA-BASKET ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "FLEMMING",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-766-4993",
        "authorized_official_credential": "M.S.A."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEACHES-NA-BASKET ADULT DAY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Peaches-NA-Basket Adult Health Care Services (Peaches-Na-Basket Adult Services)
• Peachesnabasket Adult Health Services (PeachesNaBasketAdult Services)
• John Thomas Peachey, PSY.D.
• Peacock Companion & Caregiving Serivce

• Adult Day Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.