Organization Active NPI

C & D Enterprises of NE FL, LLC

  • Developmentally Disabled Services Day Training Agency
  • Jacksonville, FL
National Provider Identifier
1922455153
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on May 18, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
015523200MedicaidFL

Other names 1

  • A Motherly Love Living Facility Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.