COMMUNITY REHABILITATION CENTER INC (NPI# 1528165909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528165909 |
| Entity Type | Organization |
| Organization Name | COMMUNITY REHABILITATION CENTER INC |
| Other Organization Name | CRC |
| Practice Address |
623 Beechwood Strret Jacksonville FL 32206 |
| Mailing Address |
623 Beechwood St Jacksonville FL 32206-6236 |
| Practice Telephone | 9043581211 |
| Practice Fax Number | 9043581551 |
| Mailing Telephone | 9043581211 |
| Mailing Fax Number | 9043581551 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-20 |
| Authorized Official Name | MR. JIMMIE P. HICKS I (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9043581211 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 305S00000X-POINT | FL | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| CRC | Doing Business As Name - Organization |
| Street Address |
623 BEECHWOOD STRRET |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275543 | Marvin Victor Sindel IIi | Nurse Practitioner | 1241 E 8th St, Jacksonville, FL 32206 | 2018-05-17 |
| 1982126553 | Marcia Camille Holloway | In Home Supportive Care | 647 East 31th Street, Jacksonville, FL 32206 | 2017-07-14 |
| 1407302656 | Tahnita Fleming | Day Training, Developmentally Disabled Services | 1309 Van Buren Street, Jacksonville, FL 32206 | 2016-08-28 |
| 1912202136 | Bishop Home Care, Inc | Clinic/Center | 1627 E 8th Street, Jacksonville, FL 32206 | 2011-01-19 |
| 1407183965 | Richard Adam Crosby | Chiropractor | 4211 North Pearl St., Jacksonville, FL 32206 | 2009-11-04 |
| 1346494903 | Delvenia Renee Mitchell | Specialist | 4515 N Pearl St Apt 2, Jacksonville, FL 32206 | 2008-11-10 |
| 1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
| 1932253879 | Gale Marie Cohen-weiss | Social Worker | Veterans Health System, Jacksonville Outpatient Clinic, 1833 Boulevard, Jacksonville, FL 32206 | 2007-01-22 |
| 1396817557 | Bella Caimol Ejercito | Internal Medicine | 4608 Norwood Ave, Jacksonville, FL 32206 | 2006-11-14 |
| 1962584433 | Jessica Ivette Warthen | Pharmacist | 1833 Boluevard, Department of Veterans Affairs; Mental Health Clinic, Jacksonville, FL 32206 | 2006-10-20 |
| Find all providers in zip 32206 | ||||
| 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 |
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| 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 |
| 1104822923 | Keepsafe Center, Inc. | Point of Service | 5626 Soutel Dr, Jacksonville, FL 32219-3772 | 2005-06-27 |
| 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 | 32206 |
Please comment or provide details below to improve the information on COMMUNITY REHABILITATION CENTER INC.
| 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.