Northeast Support Coordination Services Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

NORTHEAST SUPPORT COORDINATION SERVICES INC

Practice address

1545 Charon Rd
Jacksonville, FL 32205-9201

Phone

(904) 387-2741

Fax

(904) 387-4774

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Betty Daigger

Title

Co-Owner

Phone

(904) 387-2741

Specialties & licenses 1

Addresses

Other names 1

• Northeast Support Coordination Services Doing business as

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1972256790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 CHARON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059201",
            "telephone_number": "904-387-2741",
            "fax_number": "904-387-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 CHARON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059201",
            "telephone_number": "904-387-2741",
            "fax_number": "904-387-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SUPPORT COORDINATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "DAIGGER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "904-387-2741"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Support Coordination Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northeast Florida Joint Preservation and Cartilage Restoration Center
• Northeast Florida Limb Preservation and Complex Wound Care Specialists
• Northeast Florida Medical Solutions, PLLC
• Northeast Florida Pediatric Associates, P.a.
• Northeast Florida Pediatric Associates, P.a.
• Northern Florida Anesthesia Services PLLC
• Northern Jacksonville Acquisitions, LLC
• Northern Jacksonville Enterprise, LLC
• Northland Hearing Centers Inc
• Northland Hearing Centers, Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.