COMMUNITYREHABILITATION CENTER INC (NPI# 1790854669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790854669 |
| Entity Type | Organization |
| Organization Name | COMMUNITYREHABILITATION CENTER INC |
| Other Organization Name | COMMUNITYREHAABILITATION CENTER INC |
| Practice Address |
623 Beechwood St Jacksonville FL 32206-6236 |
| Practice Telephone | 9043581211 |
| Practice Fax Number | 9043498555 |
| Mailing Telephone | 9043581211 |
| Mailing Fax Number | 9043498555 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. REGINALD L GAFFNEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9043581211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Other Name | Type Code |
|---|---|
| communityRehaabilitation Center Inc | Former Legal Business Name - Organization |
| Street Address |
623 BEECHWOOD ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32206-6236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304511 | Communtiy Rehabilitation Center, Inc. | Case Management | 623 Beechwood St, Jacksonville, FL 32206-6236 | 2005-05-27 |
| 1033543343 | Erakal Goodman | Counselor | 623 Beechwood St, Jacksonville, FL 32206-6236 | 2013-08-23 |
| 1740621564 | Latoya Oates | Counselor | 623 Beechwood St, Jacksonville, FL 32206-6236 | 2013-07-09 |
| 1871867762 | Kimyata Marie Whaley | Case Manager/Care Coordinator | 623 Beechwood St, Jacksonville, FL 32206-6236 | 2012-02-24 |
| 1770868010 | Community Rehabilitation Center, Inc. | Community/Behavioral Health | 623 Beechwood St, Jacksonville, FL 32206-6236 | 2011-10-19 |
| 1235412206 | Mattie G Lusco | Case Management | 623 Beechwood St, Jacksonville, FL 32206-6236 | 2011-09-26 |
| 1902031859 | Albert N Crane Jr. | Counselor | 623 Beechwood St, Jacksonville, FL 32206-6236 | 2009-05-21 |
| 1528293461 | Sauna L Hicks | Counselor | 623 Beechwood St, Jacksonville, FL 32206-6236 | 2009-05-21 |
| 1659520047 | John Calvin Hale | Case Manager/Care Coordinator | 623 Beechwood St, 623 Beechwood St, Jacksonville, FL 32206-6236 | 2008-09-10 |
| 1508991332 | Community Rehabilitation Center, Inc | Community/Behavioral Health | 623 Beechwood St, Jacksonville, FL 32206-6236 | 2007-02-22 |
| Find all providers in the same location | ||||
| 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 | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847268 | Joshua R Grant | Day Training, Developmentally Disabled Services | 2405 Almeda St, Jacksonville, FL 32209-4632 | 2020-09-24 |
| 1760092589 | I Am Care LLC | Day Training, Developmentally Disabled Services | 6732 Gentle Oaks Dr, Jacksonville, FL 32244-3690 | 2020-08-06 |
| 1780200386 | Exceptional Comfort and Care, LLC | Day Training, Developmentally Disabled Services | 9608 Woodstone Mill Dr, Jacksonville, FL 32244-7911 | 2020-06-19 |
| 1902427370 | Endless Possibilities of Hope LLC | Day Training, Developmentally Disabled Services | 3410 Kingston St, Jacksonville, FL 32254-2338 | 2020-04-27 |
| 1144850835 | Safekeeping Support Services, LLC | Day Training, Developmentally Disabled Services | 10316 Red Tip Rd, Jacksonville, FL 32218-9132 | 2020-01-22 |
| 1174153852 | Erica C Williams | Day Training, Developmentally Disabled Services | 1026 Gallant Fox Cir S, Jacksonville, FL 32218-1955 | 2020-01-22 |
| 1336602093 | Special Methods In Life Enrichment Services LLC | Day Training, Developmentally Disabled Services | 7187 Overland Park Blvd E, Jacksonville, FL 32244-4254 | 2019-04-10 |
| 1013481720 | Dorothy Washington | Day Training, Developmentally Disabled Services | 6316 San Juan Ave Ste 41a, Jacksonville, FL 32210-2883 | 2019-01-15 |
| 1114492295 | Xiaxiang Daniels | Day Training, Developmentally Disabled Services | 5620 Collins Rd Apt 109, Jacksonville, FL 32244-6909 | 2018-10-04 |
| 1134613540 | Sunshine Support Services, LLC | Day Training, Developmentally Disabled Services | 9205 Redtail Dr, Jacksonville, FL 32222-2811 | 2018-06-19 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32206 |
Please comment or provide details below to improve the information on COMMUNITYREHABILITATION 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.