WESTWOOD MANOR RESIDENTIAL CARE HOME LLC


Address: 5118 Bilken Dr E, Jacksonville, FL 32210-6348
Phone: 9044587157

WESTWOOD MANOR RESIDENTIAL CARE HOME LLC (NPI# 1710512918) 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) 1710512918
Entity Type Organization
Organization Name WESTWOOD MANOR RESIDENTIAL CARE HOME LLC
Practice Address 5118 Bilken Dr E
Jacksonville
FL 32210-6348
Practice Telephone 9044587157
Mailing Telephone 9044587157
Enumeration Date 2020-03-08
Last Update Date 2020-03-08
Authorized Official Name LAUREN P ANDERSON (MANAGER)
Authorized Official Telephone 9044587157
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities

Office Location

Street Address 5118 BILKEN DR E
City JACKSONVILLE
State FL
Zip Code 32210-6348

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1518457357 Vicki Teal Nurse Practitioner 6488 103rd Street, Suite A, Jacksonville, FL 32210 2018-05-17
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770128159 Christine Ann Mentz Custodial Care Facility 13903 Ascot Dr, Jacksonville, FL 32250-1603 2019-11-09
1316430275 Mary Seeram Custodial Care Facility 4313 Savannah Ave, Jacksonville, FL 32210-7307 2018-06-14
1205366895 Lilibeth Bundang Adona Custodial Care Facility 1818 Townsend Blvd, Jacksonville, FL 32211 2017-06-15
1336677921 Daniel Dowdell Custodial Care Facility 1214 Saint Clair St, Jacksonville, FL 32254-2456 2017-05-26
1134670821 Morine Lee Custodial Care Facility 1804 University Blvd N, Jacksonville, FL 32211-4524 2016-10-18
1457800708 T & T Loving Care Home, Inc. Custodial Care Facility 7106 Berrywood Ln, Jacksonville, FL 32277-2609 2016-09-28
1922554252 Debra Richards Custodial Care Facility 14121 Devan Lee Dr W, Jacksonville, FL 32226 2016-08-28
1508222779 Abbey-gale Samantha Harper Custodial Care Facility 15751 Twin Creek Dr, Jacksonville, FL 32218-8337 2016-01-04
1790152866 Sabrinas Love and Care Custodial Care Facility 1701 Lake Shore Blvd Apt 2202, Jacksonville, FL 32210-1669 2015-08-25
1265822175 Demetrice Dowdell Custodial Care Facility 1959 Cherokee Cove Trl, Jacksonville, FL 32221-4927 2015-01-30
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Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32210

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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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