Organization Active NPI

Bishop Home Care, Inc

  • Assisted Living Facility (Mental Illness)
  • Jacksonville, FL
National Provider Identifier
1912202136
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002279200MedicaidFL

Other names 1

  • Bishop Christian Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bishop Home Care Inc3 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.