GANESH HEALTHCARE OF JAX LLC (NPI# 1780160192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780160192 |
| Entity Type | Organization |
| Organization Name | GANESH HEALTHCARE OF JAX LLC |
| Other Organization Name | RIVER FRONT ADULT DAY CARE |
| Practice Address |
644 Cesery Blvd Ste 150 Jacksonville FL 32211 |
| Mailing Address |
644 Cesery Blvd Ste 106 Jacksonville FL 32211-7165 |
| Practice Telephone | 9044203900 |
| Mailing Telephone | 9044203900 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | DR. VIPUL R PATEL (CEO) |
| Authorized Official Telephone | 9044878320 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| River Front Adult Day Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GANESH HEALTHCARE OF JAX LLC | 644 Cesery Blvd 150, Jacksonville, FL 32211-7190 |
| Street Address |
644 CESERY BLVD STE 150 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211 |
| 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 |
| 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 |
| 1881146074 | Arthur Hairston | Technician, Other | 5633 Clifton Lane, Jacksonville, FL 32211 | 2016-11-04 |
| Find all providers in zip 32211 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220560 | Tambolina Adult Day Care | Clinic/Center | 1627 Rogero Rd Ste C, Jacksonville, FL 32211-4866 | 2020-09-19 |
| 1649885054 | Tambolina Adult Day Care Center | Clinic/Center | 1627 Rogero Rd # 1627, Jacksonville, FL 32211-4866 | 2020-09-11 |
| 1326542929 | Ganesh Business Group, Lllp | Clinic/Center | 644 Cesery Blvd Ste 106, Jacksonville, FL 32211-7165 | 2018-03-20 |
| 1831640929 | Phally Lang | Clinic/Center | 542 Edgewood Ave S, Jacksonville, FL 32205-5333 | 2016-10-24 |
| 1538556477 | Divine Enterprises, Inc. | Clinic/Center | 1068 Arlington Rd N, Jacksonville, FL 32211-5811 | 2015-04-17 |
| 1518309319 | Martha's Adult Daycare & Services, Inc. | Clinic/Center | 8668 Lem Turner Rd, Jacksonville, FL 32208-2667 | 2013-07-22 |
| 1881039543 | Toney Adult Day Care Inc | Clinic/Center | 4406 Notter Ave, Jacksonville, FL 32206-6336 | 2013-05-07 |
| 1275891178 | Hampton's Luxury Villas Inc | Clinic/Center | 10695 Hampton Rd, Jacksonville, FL 32257-6905 | 2012-04-27 |
| 1912202136 | Bishop Home Care, Inc | Clinic/Center | 1627 E 8th Street, Jacksonville, FL 32206 | 2011-01-19 |
| 1881903045 | Add To Life Adult Day Care, Inc. | Clinic/Center | 5877 Old Timuquana Rd, Jacksonville, FL 32210-7888 | 2010-10-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
Please comment or provide details below to improve the information on GANESH HEALTHCARE OF JAX LLC.
| 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.