Organization Active NPI

Hope Adult Daycare

  • Adult Care Home Facility
  • Jacksonville, FL
National Provider Identifier
1972861185
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
9035 Issued in FL
Legal business name
HOPE ADULT DAYCARE
Practice address
1560 Roberts Drive
Jacksonville, FL 32250-3222
Phone
(904) 249-4673
Fax
(904) 249-4619
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Ms. Debra Jean Johnson, LPN
Title
Administrator
Phone
(904) 249-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 9035 FL Primary

Addresses

Primary practice location

1560 Roberts Drive
Jacksonville, FL 32250-3222

Mailing address

1560 Roberts Dr
Jacksonville, FL 32250-3222
Phone (904) 249-4673

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1972861185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 ROBERTS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322503222",
            "telephone_number": "904-249-4673",
            "fax_number": "904-249-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 ROBERTS DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322503222",
            "telephone_number": "904-249-4673",
            "fax_number": "904-249-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-249-4673",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "9035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 25, 2012; 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.