NPIMap

Organization Active NPI

Peachesnabasket Adult Health Services

  • Point of Service
  • Jacksonville, FL
National Provider Identifier
1841548898
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
231670 Issued in FL
Legal business name
PEACHESNABASKET ADULT HEALTH SERVICES
Practice address
2040 Soutel Dr
Jacksonville, FL 32208-2280
Phone
(904) 766-4993
Fax
(904) 713-9966
NPI assigned
Aug 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Ms. B.Dolores Flemming, MS
Title
Ceo
Phone
(904) 766-4993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 231670 FL Primary

Addresses

Primary practice location

2040 Soutel Dr
Jacksonville, FL 32208-2280

Mailing address

2040 Soutel Dr
Jacksonville, FL 32208-2280
Phone (904) 766-4993

Other names 1

  • PeachesNaBasketAdult Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peaches-NA-Basket Adult Health Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1841548898",
    "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",
            "telephone_number": "904-766-4993",
            "fax_number": "904-713-9966"
        },
        {
            "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",
            "fax_number": "904-713-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHESNABASKET ADULT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "FLEMMING",
        "authorized_official_first_name": "B.DOLORES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-766-4993",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "231670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PeachesNaBasketAdult Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 23, 2012; 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.