SOUTHWOOD NURSING CENTER (NPI# 1255328399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255328399 |
| Entity Type | Organization |
| Organization Name | SOUTHWOOD NURSING CENTER |
| Practice Address |
40 Acme St Jacksonville FL 32211-7953 |
| Practice Telephone | 9047245933 |
| Practice Fax Number | 9047211274 |
| Mailing Telephone | 9047245933 |
| Mailing Fax Number | 9047211274 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TERRY KEITH CARPENTER (ADMINISTRATOR) |
| Authorized Official Telephone | 9047245933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | SNF1508095 | FL | Nursing & Custodial Care Facilities |
| Street Address |
40 ACME ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211-7953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797874 | Riverwood Nursing Center LLC | Skilled Nursing Facility | 40 Acme St, Jacksonville, FL 32211-7953 | 2005-08-10 |
| 1457603060 | Five S.t.a.r. Veterans Center, Inc | Psychologist | 40 Acme St, Jacksonville, FL 32211 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568659993 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 1839 Onslow Dr, Jacksonville, NC 28540-5906 | 2007-10-01 |
| 1770581191 | Arc of Jacksonville, Ltd | Nursing Facility/Intermediate Care Facility | 1320 Tendick St, Jacksonville, IL 62650-3121 | 2005-07-09 |
| 1629414479 | Kpncinc | Nursing Facility/Intermediate Care Facility | 764 Aqua Surf Ct, Jacksonville, FL 32225-0802 | 2013-05-21 |
| 1477863355 | Malachi Home Care,inc | Nursing Facility/Intermediate Care Facility | 200 Valencia Dr, Suite 103, Jacksonville, NC 28546-6311 | 2010-10-13 |
| 1225344518 | Care Center of Jacksonville, LLC | Nursing Facility/Intermediate Care Facility | 1320 Tendick St, Jacksonville, IL 62650-3121 | 2010-08-24 |
| 1154644912 | Lp Jacksonville, LLC | Nursing Facility/Intermediate Care Facility | 2061 Hyde Park Rd, Jacksonville, FL 32210-3815 | 2010-03-09 |
| 1952598385 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 225 White St, Jacksonville, NC 28546-6351 | 2007-10-01 |
| 1972517738 | A.r.c. of Jacksonville, Ltd | Nursing Facility/Intermediate Care Facility | 1320 Tendick St, Jacksonville, IL 62650-3121 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021550 | Lighthouz Home Health Care LLC | Nursing Facility/Intermediate Care Facility | 6418 Seabury Way, Orlando, FL 32818-1750 | 2020-04-13 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1861895476 | Miami Va Health Care System | Nursing Facility/Intermediate Care Facility | 8765 Sw 146th St, Palmetto Bay, FL 33176-8083 | 2014-09-28 |
| 1578977799 | A Labor of Love Doula Services LLC | Nursing Facility/Intermediate Care Facility | 12311 164th Ct N, Jupiter, FL 33478-6568 | 2014-06-16 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1013336346 | Bonaventure Health Services Inc. | Nursing Facility/Intermediate Care Facility | 123 Nw 13th St Ste 214-05, Boca Raton, FL 33432-1641 | 2014-04-15 |
| 1295153716 | Jeffrey D Mandelkorn Phd Pa | Nursing Facility/Intermediate Care Facility | 2000 Ne 17th St, #3, Fort Lauderdale, FL 33305-2565 | 2014-04-01 |
| 1801212097 | Faith Home Care Alf Inc. | Nursing Facility/Intermediate Care Facility | 114 Euclid Ave, Seffner, FL 33584-8000 | 2014-03-12 |
| 1295150712 | Happy Living LLC | Nursing Facility/Intermediate Care Facility | 582 Koala Dr, Kissimmee, FL 34759-4210 | 2014-02-19 |
| 1902243207 | Senior Home Maker Companion | Nursing Facility/Intermediate Care Facility | 13440 Sw 36 St, Miami, FL 33175 | 2013-05-28 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
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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.