HAMPTON'S LUXURY VILLAS INC


Address: 10695 Hampton Rd, Jacksonville, FL 32257-6905
Phone: 9042328575

HAMPTON'S LUXURY VILLAS INC (NPI# 1275891178) 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) 1275891178
Entity Type Organization
Organization Name HAMPTON'S LUXURY VILLAS INC
Practice Address 10695 Hampton Rd
Jacksonville
FL 32257-6905
Practice Telephone 9042328575
Practice Fax Number 9043283850
Mailing Telephone 9042328575
Mailing Fax Number 9043283850
Enumeration Date 2012-04-27
Last Update Date 2012-04-27
Authorized Official Name MR. HENNIE CARIAS WITHERUP (PRESIDENT/CEO)
Authorized Official Telephone 9045363091
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QA0600X Clinic/Center
Specialization: Adult Day Care
AL#12086 FL Ambulatory Health Care Facilities
Y 261QH0100X Clinic/Center
Specialization: Health Service
AL#12086 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 004569900 05

Office Location

Street Address 10695 HAMPTON RD
City JACKSONVILLE
State FL
Zip Code 32257-6905

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NPI Name Taxonomy Address Enumeration
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1386203859 Jetaime Y Lewis Physical Therapist 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 2019-06-10
1437622107 Michelle Espanol Garcia Nurse Practitioner 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 2019-01-05
1982172995 Pacifica Augustine Road LLC Alzheimer Center (Dementia Center) 10660 Old Augustine Road, Jacksonville, FL 32257 2018-11-07
1659860492 Andrea Leigh Miller Social Worker 10416 Spotted Fawn Lane, Jacksonville, FL 32257 2018-05-08
1376049965 Stephanie Lynne Jordon Nurse Practitioner 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 2018-04-02
1205335619 Annetta Aileen Brown Respite Care 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 2018-02-12
1841714888 Freda Stevens Counselor 9521 Shellie Road Unit 13, Jacksonville, FL 32257 2017-08-01
1659821353 Jennifer Lavoro Acupuncturist 11259 Thomaston Pl, Jacksonville, FL 32257 2016-10-06
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1407277171 Csi-pediatric Services, Inc. Clinic/Center 10750 Atlantic Blvd, Suite 11, Jacksonville, FL 32225-2946 2013-12-26
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1194057836 Usimc of West Virginia Medical Corp Clinic/Center 7500 Centurion Pkwy Ste 100, Jacksonville, FL 32256-0517 2010-02-05
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1508463845 Concentra Medical Centers Clinic/Center 1524 Normandy Village Pkwy, Jacksonville, FL 32221-3222 2020-10-08
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Competitor

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City JACKSONVILLE
Zip Code 32257

Improve Information

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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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