Active NPI
C & D Enterprises of NE FL, LLC
- Developmentally Disabled Services Day Training Agency
- Jacksonville, FL
National Provider Identifier
1922455153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- C & D ENTERPRISES OF NE FL, LLC
- Practice address
- 8058 Swamp Flower Dr E
Jacksonville, FL 32244-6161 - Phone
- (904) 955-9779
- NPI assigned
- May 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christiane Gooden
- Title
- Managing Partner
- Phone
- (904) 608-1861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
8058 Swamp Flower Dr E
Jacksonville, FL 32244-6161
Mailing address
PO Box 8303
Jacksonville, FL 32239-0303
Phone (904) 955-9779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015523200 | Medicaid | FL |
Other names 1
- A Motherly Love Living Facility
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463529600000",
"number": "1922455153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8303",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322390303",
"telephone_number": "904-955-9779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8058 SWAMP FLOWER DR E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322446161",
"telephone_number": "904-955-9779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C & D ENTERPRISES OF NE FL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-18",
"last_updated": "2016-05-18",
"status": "A",
"authorized_official_last_name": "GOODEN",
"authorized_official_first_name": "CHRISTIANE",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "904-608-1861"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015523200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A Motherly Love Living Facility",
"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 May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.