KATRINA M JOHNSON


Address: 10225 Magnolia Ridge Dr, Jacksonville, FL 32210-4991
Phone: 9049233505

KATRINA M JOHNSON (NPI# 1063970358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063970358
Entity Type Individual
Full Name KATRINA M JOHNSON
Practice Address 10225 Magnolia Ridge Dr
Jacksonville
FL 32210-4991
Practice Telephone 9049233505
Mailing Telephone 9049233505
Enumeration Date 2019-03-06
Last Update Date 2019-03-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities
Y 253Z00000X In Home Supportive Care Agencies

Other Provider Identifier

State Issuer Identifier Type Code
FL 100716400 05

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1538667274 Katrina Johnson Case Manager/Care Coordinator 1204 Stubbs Ave, Monroe, LA 71201 2018-01-29
1932627080 Katrina Johnson Case Manager/Care Coordinator 39928 Brenmark Rd, Homer, AK 99603 2017-09-08

Office Location

Street Address 10225 MAGNOLIA RIDGE DR
City JACKSONVILLE
State FL
Zip Code 32210-4991

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013542042 Five Star Quality Transportation LLC Non-emergency Medical Transport (VAN) 10225 Magnolia Ridge Dr, Jacksonville, FL 32210-4991 2020-03-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326604729 Finding Balance Counseling, LLC Counselor 4705 Palmer Ave, Jacksonville, FL 32210 2019-05-13
1609349620 Jennifer Lash Counselor 4705 Palmer Avenue, Jacksonville, FL 32210 2019-01-03
1588147854 Alan Craig Ashkinazy Chiropractor 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 2018-09-12
1841781671 Amanda Rodriguez-medina Chiropractor 6640 103rd St, Jacksonville, FL 32210 2018-05-29
1518457357 Vicki Teal Nurse Practitioner 6488 103rd Street, Suite A, Jacksonville, FL 32210 2018-05-17
1811412539 River City Companionship LLC Clinic/Center 7857 Delaroche Drive, Jacksonville, FL 32210 2017-08-03
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1720538556 Total Renal Care Inc Clinic/Center 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 2016-10-05
1700333978 Recovery Counseling and More Inc Clinic/Center 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 2016-09-06
1831645662 Drucilla Young Nurse's Aide 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 2016-08-31
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477154680 C.n.e Health Care LLC In Home Supportive Care 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 2020-11-04
1255930681 Beverley's Home Healthcare LLC In Home Supportive Care 6404 Shortleaf Pl, Jacksonville, FL 32244-8122 2020-10-17
1063029288 Gentle Hands of Care,llc In Home Supportive Care 12450 Biscayne Blvd Apt 620, Jacksonville, FL 32218-8628 2020-09-30
1922613934 Just In Time A&n, LLC In Home Supportive Care 2212 Edgewood Ave W, Jacksonville, FL 32209-2522 2020-09-15
1225647787 Foundations for Seniors, Inc In Home Supportive Care 1598 Falkland Rd E, Jacksonville, FL 32221-2803 2020-07-30
1184233165 Elizabeth C Robinson In Home Supportive Care 6229 Cranberry Ln E, Jacksonville, FL 32244-7204 2020-07-27
1164040507 Their Heart Our Passion Provider Services, Inc In Home Supportive Care 5687 Colony Pine Cir N, Jacksonville, FL 32244-6245 2020-07-13
1811515125 Support Services.com, LLC In Home Supportive Care 2121 Corporate Square Blvd Ste 118, Jacksonville, FL 32216-1977 2020-07-13
1659996999 3d Brighter Hope Care LLC In Home Supportive Care 2946 W 6th St, Jacksonville, FL 32254-1904 2020-06-12
1023632569 Caretenders Visiting Services of St. Augustine, LLC In Home Supportive Care 6789 Southpoint Pkwy Ste 200, Jacksonville, FL 32216-8206 2020-06-01
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Competitor

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City JACKSONVILLE
Zip Code 32210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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