KEEPSAFE CENTER, INC. (NPI# 1104822923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104822923 |
| Entity Type | Organization |
| Organization Name | KEEPSAFE CENTER, INC. |
| Other Organization Name | KEEPSAFE ADULT DAY CARE |
| Practice Address |
5626 Soutel Dr Jacksonville FL 32219-3772 |
| Practice Telephone | 9047686456 |
| Practice Fax Number | 9047650264 |
| Mailing Telephone | 9047686456 |
| Mailing Fax Number | 9047650264 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. HERMONYONE W WALKER (ADMINISTRATOR) |
| Authorized Official Telephone | 9047686456 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | N11795 | FL | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| KEEPSAFE ADULT DAY CARE | Other Name - Individual/Organization |
| Street Address |
5626 SOUTEL DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32219-3772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225385214 | Paradise Retreat Assisted Living Facility LLC | Clinic/Center | 5626 Soutel Dr, Jacksonville, FL 32219-3772 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902182447 | Beatrice E Hall | Technician | 5838 Soutel Dr., Jacksonville, FL 32219 | 2011-10-28 |
| 1437173697 | Bennie Clark Jr. | Dentist | 5475 Soutel Drive, Jacksonville, FL 32219 | 2006-07-27 |
| 1801842679 | Susan E. Kurner | Counselor | 10149 Fox Lake Ct, Jacksonville, FL 32219-1693 | 2006-05-25 |
| 1841629243 | Latonia Delores Simmons | Day Training, Developmentally Disabled Services | 12428 Cadley Cir, Jacksonville, FL 32219-1861 | 2013-11-06 |
| 1114495512 | La Assistant Services | Home Health Aide | 12428 Cadley Cir, Jacksonville, FL 32219-1861 | 2018-11-05 |
| 1831759141 | Stephanie R Forde | Technician | 12379 Glimmer Way, Jacksonville, FL 32219-1867 | 2019-06-18 |
| 1700372869 | Valerie M Vinson-anderson | In Home Supportive Care | 6751 Langford St, Jacksonville, FL 32219-1875 | 2018-07-02 |
| 1821528860 | Samaiyah Harris | Adult Companion | 6967 Sandle Dr, Jacksonville, FL 32219-1884 | 2017-06-13 |
| 1023508595 | Present Help Companion Services, LLC | Respite Care | 6967 Sandle Dr, Jacksonville, FL 32219-1884 | 2018-05-10 |
| 1629635420 | Kimberly Walker | Registered Nurse | 8921 Merseyside Ave, Jacksonville, FL 32219-2374 | 2019-05-28 |
| Find all providers in zip 32219 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666146 | Tashiana Kelly | Point of Service | 2611 University Blvd N Apt C203, Jacksonville, FL 32211-3287 | 2020-10-15 |
| 1043719396 | Coco Chenele LLC | Point of Service | 6650 Corporate Center Pkwy Apt 1317, Jacksonville, FL 32216-8722 | 2018-02-01 |
| 1265826820 | J-well Pilates Rehab Studio | Point of Service | 310 E California St Unit B, Jacksonville, OR 97530-9414 | 2015-03-22 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| 1962647156 | The Thomas Hill Group Inc | Point of Service | 7911 Melvin Rd, Jacksonville, FL 32210-1434 | 2008-12-03 |
| 1528165909 | Community Rehabilitation Center Inc | Point of Service | 623 Beechwood Strret, Jacksonville, FL 32206 | 2006-09-20 |
| 1376095729 | Liquid Logic Rx | Point of Service | 5105 Bowden Rd, Jacksonville, FL 32216-5907 | 2016-11-02 |
| 1992110654 | Vibrant Life Health Center LLC | Point of Service | 12627 San Jose Blvd, Suite 501, Jacksonville, FL 32223-2662 | 2014-06-21 |
| 1538596481 | My Guardian Angels Senior Care Inc | Point of Service | 9951 Atlantic Blvd, Ste 423, Jacksonville, FL 32225-6584 | 2013-10-07 |
| 1841548898 | Peachesnabasket Adult Health Services | Point of Service | 2040 Soutel Dr, Jacksonville, FL 32208-2280 | 2012-08-23 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32219 |
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| 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.