Shipp Adult Family Care Home

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

AF33 Issued in FL

Legal business name

SHIPP ADULT FAMILY CARE HOME

Doing business as

Delois Shipp

Practice address

8942 6TH Ave
Jacksonville, FL 32208-2126

Phone

(904) 766-1850

Fax

(904) 766-1850

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Delois W ShippNPI 1427447739

Title

Administrator

Phone

(904) 766-1850

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Delois Shipp Doing business as

Practitioners 1

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

• Delois Shipp

  • Physical Disabilities Residential Treatment Facility
  • Jacksonville, FL
  • NPI 1427447739

  Residential Treatment Facility, Physical Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1851711279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8942 6TH AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082126",
            "telephone_number": "904-766-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8942 6TH AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082126",
            "telephone_number": "904-766-1850",
            "fax_number": "904-766-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPP ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "SHIPP",
        "authorized_official_first_name": "DELOIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-766-1850",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "FL",
            "license": "AF33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141412700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delois Shipp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Shingle-Bratton
• Shining Light Peer Services
• Shining Stars Applied Behavior Analysis Corp.
• Shinymax
• Hannah Marie Shipe
• Arianne Shipp, DO
• Delois Shipp
• Dror Shir, MD
• Ehsan Shirazi, MD
• David Wayne Shirey Jr., PT, DPT

• Physical Disabilities Residential Treatment Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.