Quality Care of FL.Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 9828 Issued in FL

Legal business name

QUALITY CARE OF FL.INC

Practice address

1261 Tumbleweed Dr
228 Old Jennings Road
Orange Park, FL 32065-7459

Phone

(904) 276-1115

Fax

(904) 276-1115

NPI assigned

Feb 5, 2006

Organization subpart

No

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

Authorized official

Name

Miss Gabriele Kern Mendhi, BSW

Title

Administrator

Phone

(904) 276-1115

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1139097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1821060765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 TUMBLEWEED DR",
            "address_2": "228 OLD JENNINGS ROAD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657459",
            "telephone_number": "904-276-1115",
            "fax_number": "904-276-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 TUMBLEWEED DR",
            "address_2": "228 OLD JENNINGS ROAD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657459",
            "telephone_number": "904-276-1115",
            "fax_number": "904-276-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE OF FL.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-05",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "MENDHI",
        "authorized_official_first_name": "GABRIELE",
        "authorized_official_middle_name": "KERN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-276-1115",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 9828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678855600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.