Home Away From Home of Putnam Co., Inc.

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

HOME AWAY FROM HOME OF PUTNAM CO., INC.

Practice address

680 Old San Mateo Rd
San Mateo, FL 32187-2220

Phone

(386) 329-3208

Fax

(386) 385-3248

NPI assigned

Sep 15, 2025

Organization subpart

No

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

Authorized official

Name

Teresa Jackson

Title

President

Phone

(386) 329-3208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1831060821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 SAINT JOHNS AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774132",
            "telephone_number": "386-385-3166",
            "fax_number": "386-385-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 OLD SAN MATEO RD",
            "city": "SAN MATEO",
            "state": "FL",
            "postal_code": "321872220",
            "telephone_number": "386-329-3208",
            "fax_number": "386-385-3248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4311 Pontiac St",
            "address_purpose": "LOCATION",
            "city": "Palatka",
            "state": "FL",
            "postal_code": "321772463",
            "country_code": "US",
            "telephone_number": "386-329-3208",
            "fax_number": "386-385-3248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Palatka",
            "state": "FL",
            "postal_code": "321773319",
            "country_code": "US",
            "telephone_number": "386-329-3208",
            "fax_number": "386-385-3248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 E Peniel Rd",
            "address_purpose": "LOCATION",
            "city": "Palatka",
            "state": "FL",
            "postal_code": "321778439",
            "country_code": "US",
            "telephone_number": "386-329-3208",
            "fax_number": "386-385-3248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOME AWAY FROM HOME OF PUTNAM CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-329-3208"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Day Training/Habilitation Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.