Active NPI
Hope Adult Daycare
- Adult Care Home Facility
- Jacksonville, FL
National Provider Identifier
1972861185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 9035
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.