Stephanie'S Love & Care (Alf)

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL10793 Issued in FL

Legal business name

STEPHANIE'S LOVE & CARE (ALF)

Doing business as

na

Practice address

3056 W 1St St
Jacksonville, FL 32254-2539

Phone

(904) 388-7086

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Stephanie L Bellamy, ASSISTED LIVINGNPI 1801198460

Title

Owner/Administrator

Phone

(904) 388-7086

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• na Doing business as

Practitioners 1

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

• Stephanie L Bellamy

  • Assisted Living Facility
  • Jacksonville, FL
  • NPI 1801198460
  NPD (past) Authorized official

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1861896284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 W 1ST ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322542539",
            "telephone_number": "904-388-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 W 1ST ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322542539",
            "telephone_number": "904-388-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE'S LOVE & CARE (ALF)",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "BELLAMY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "904-388-7086",
        "authorized_official_credential": "ASSISTED LIVING"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL10793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801198460",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142571400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "na",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Lynn Stephan, APRN
• Stephanie Fears
• Stephanie Kinnare PHD LLC
• Stephanie Summers LMFT, P.a.
• Stephanie'S Homemaker & Companion Care LLC
• Stephen M Pullen PA
• Brian Layne Stephens, MD
• Detoshia Aftan Stephens, MS
• Jamara Stephens
• Katrenia Lashawn Stephens

• Assisted Living Facility (Mental Illness) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.