RIVER REGION HUMAN SERVICES (NPI# 1700097888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700097888 |
| Entity Type | Organization |
| Organization Name | RIVER REGION HUMAN SERVICES |
| Practice Address |
390 Park St Jacksonville FL 32204-2342 |
| Practice Telephone | 9048996300 |
| Practice Fax Number | 9048996383 |
| Mailing Telephone | 9048996300 |
| Mailing Fax Number | 9048996383 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | DENISE DONAR (COURT LIASON) |
| Authorized Official Telephone | 9048996300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | FL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033546080 | River Region Human Services | Clinic/Center | 2055 Reyko Rd, Suite 101, Jacksonville, FL 32207-2822 | 2013-10-07 |
| 1316289333 | River Region Human Services | Clinic/Center | 3020 Warrington St, Jacksonville, FL 32254-3937 | 2013-03-18 |
| 1235322843 | River Region Human Services | Community/Behavioral Health | 7240 Lem Turner Cir, Jacksonville, FL 32208-6801 | 2007-08-27 |
| Street Address |
390 PARK ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841687639 | Kimberly Tisha Smith | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2015-04-20 |
| 1659541654 | Raymond Martin Pomm | Psychiatry & Neurology | 390 Park St, Jacksonville, FL 32204-2342 | 2008-03-05 |
| 1003011545 | Gloria Hanania | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-06-15 |
| 1790986693 | Jacqueline Gamble Williams | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-29 |
| 1811106149 | Melinda Tucker | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-22 |
| 1841407574 | Joseph Ethan Johnson | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-16 |
| 1942416649 | Robin Sue Spires | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-16 |
| 1588870208 | Talundria Prince | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-16 |
| 1568507853 | River Region Human Services Inc | Community/Behavioral Health | 390 Park St, Jacksonville, FL 32204-2342 | 2007-02-21 |
| 1588686877 | Daphne T Hayes | Nurse Practitioner | 390 Park St, Jacksonville, FL 32204-2342 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508291683 | Spirit of Excellence Community Outreach, Inc | Community Based Residential Treatment Facility, Mental Illness | 510 Crissy Dr, Jacksonville, NC 28540-9183 | 2013-09-09 |
| 1326383852 | Operation Community Restore | Community Based Residential Treatment Facility, Mental Illness | 204 N Washington St, Jacksonville, FL 32202-2809 | 2012-12-10 |
| 1558634113 | A.l.l. Focus Inc | Community Based Residential Treatment Facility, Mental Illness | 11115 Key Haven Blvd, Jacksonville, FL 32218-4488 | 2012-02-13 |
| 1063601565 | A.l.l. Focus Inc | Community Based Residential Treatment Facility, Mental Illness | 6816 Bloxham Ave, Jacksonville, FL 32208-4841 | 2007-10-20 |
| 1598953408 | Pearls Family Care Home #2 | Community Based Residential Treatment Facility, Mental Illness | 107 Ash Ct, Jacksonville, NC 28546-8503 | 2007-10-05 |
| 1174710529 | Pearls Family Care Home # 4 | Community Based Residential Treatment Facility, Mental Illness | 102 Ash Place, Jacksonville, NC 28546 | 2007-10-01 |
| 1104013994 | Pearls Family Care Home #3 | Community Based Residential Treatment Facility, Mental Illness | 105 Ash Ct, Jacksonville, NC 28546-8503 | 2007-09-26 |
| 1528107505 | .martha's Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 303 S Shore Dr, Jacksonville, NC 28540-5647 | 2007-02-06 |
| 1306484464 | Roxanne Gordon | Community Based Residential Treatment Facility, Mental Illness | 3027 San Diego Rd, Jacksonville, FL 32207-3691 | 2019-12-19 |
| 1396298915 | Lavon M. Gainey | Community Based Residential Treatment Facility, Mental Illness | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2016-08-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.