Active NPI
Bishop Home Care, Inc
- Assisted Living Facility (Mental Illness)
- Jacksonville, FL
National Provider Identifier
1912202136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- BISHOP HOME CARE, INC
- Practice address
- 1627 E 8TH Street
Jacksonville, FL 32206 - Phone
- (904) 355-9731
- Fax
- (904) 355-0787
- NPI assigned
- Jan 19, 2011
- Organization subpart
- Yes
- Parent organization
- BISHOP HOME CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary R McGee
- Title
- President
- Phone
- (904) 355-9731
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 9137 | FL | |
| Assisted Living Facility (Mental Illness) | 3104A0625X | FL | Primary |
Addresses
Primary practice location
1627 E 8TH Street
Jacksonville, FL 32206
Mailing address
1627 E 8TH Street
Jacksonville, FL 32206
Phone (904) 355-9731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002279200 | Medicaid | FL |
Other names 1
- Bishop Christian Home
National Provider Directory
National Provider Directory- Tax ID family
- Bishop Home Care Inc
- Part of
- Bishop Home Care Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility (Mental Illness)
- Jacksonville, FL
- NPI 1194113670
-
- Assisted Living Facility
- Jacksonville, FL
- NPI 1063844348
Locations
1627 E 8th St
Jacksonville, FL 32206
Phone (727) 540-9049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438646400000",
"number": "1912202136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 E 8TH STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32206",
"telephone_number": "904-355-9731",
"fax_number": "904-355-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 E 8TH STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32206",
"telephone_number": "904-355-9731",
"fax_number": "904-355-0787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BISHOP HOME CARE, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BISHOP HOME CARE, INC.",
"enumeration_date": "2011-01-19",
"last_updated": "2015-08-04",
"status": "A",
"authorized_official_last_name": "MCGEE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-355-9731"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "FL",
"license": "9137",
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002279200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bishop Christian Home",
"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 4, 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.