PEACHESNABASKET ADULT HEALTH SERVICES (NPI# 1841548898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841548898 |
| Entity Type | Organization |
| Organization Name | PEACHESNABASKET ADULT HEALTH SERVICES |
| Other Organization Name | PEACHESNABASKETADULT SERVICES |
| Practice Address |
2040 Soutel Dr Jacksonville FL 32208-2280 |
| Practice Telephone | 9047664993 |
| Practice Fax Number | 9047139966 |
| Mailing Telephone | 9047664993 |
| Mailing Fax Number | 9047139966 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |
| Authorized Official Name | MS. B.DOLORES FLEMMING (CEO) |
| Authorized Official Telephone | 9047664993 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 231670 | FL | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| PeachesNaBasketAdult Services | Doing Business As Name - Organization |
| Street Address |
2040 SOUTEL DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32208-2280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811208804 | Peaches-na-basket Adult Day Care Center, Inc. | Alzheimer Center (Dementia Center) | 2040 Soutel Dr, Jacksonville, FL 32208-2280 | 2010-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1386173722 | Danielle Mathews | Home Health | 6824 Barberie St., Jacksonville, FL 32208 | 2017-06-08 |
| 1063957520 | Crystal Tramaine Simmons | Licensed Practical Nurse | 3190 Sedona Trl, Jacksonville, FL 32208 | 2016-12-19 |
| 1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
| 1093176828 | Stephanie Fears | Chore Provider | 5910 Droad St, Jacksonville, FL 32208 | 2016-03-07 |
| 1841676558 | Elizabeth Ann Miller | Social Worker | 1255 Lila Ave, Jacksonville, FL 32208 | 2015-08-04 |
| 1861877698 | Sara Castro | Counselor | 1110 Edgewood Ave West, Jacksonville, FL 32208 | 2015-07-22 |
| 1215352703 | Luther Quarles Iv | Family Medicine | 1760 Edgewood Ave W Ste A&b, Jacksonville, FL 32208 | 2014-02-20 |
| 1356776348 | Top of The Line Mobile Service | Durable Medical Equipment & Medical Supplies | 2252 4th Avenue, Jacksonville, FL 32208 | 2013-09-09 |
| 1437419124 | Carmelita Patrice Rowell | Specialist | 2255 Soutel Dr, Jacksonville, FL 32208 | 2012-05-29 |
| Find all providers in zip 32208 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666146 | Tashiana Kelly | Point of Service | 2611 University Blvd N Apt C203, Jacksonville, FL 32211-3287 | 2020-10-15 |
| 1043719396 | Coco Chenele LLC | Point of Service | 6650 Corporate Center Pkwy Apt 1317, Jacksonville, FL 32216-8722 | 2018-02-01 |
| 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 |
| 1528165909 | Community Rehabilitation Center Inc | Point of Service | 623 Beechwood Strret, Jacksonville, FL 32206 | 2006-09-20 |
| 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 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32208 |
Please comment or provide details below to improve the information on PEACHESNABASKET ADULT HEALTH SERVICES.
| 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.