DEBRA RICHARDS (NPI# 1922554252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922554252 |
| Entity Type | Individual |
| Full Name | DEBRA RICHARDS |
| Practice Address |
14121 Devan Lee Dr W Jacksonville FL 32226 |
| Mailing Address |
14121 Devan Lee Dr W Jacksonville FL 32226-5825 |
| Practice Telephone | 9043790354 |
| Practice Fax Number | 9045515321 |
| Mailing Telephone | 9043790354 |
| Mailing Fax Number | 9045515321 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2019-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906683 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010788600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14121 Devan Lee Dr W, Jacksonville, FL 32226 | 9043790354 | 9045515321 |
| 4082 Victoria Lakes Drive South, Jacksonville, FL 32226 | 9043790354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760977458 | Debra Richards | Social Worker | 3434 Edwards Mill Rd, Raleigh, NC 27612-4275 | 2018-06-26 |
| 1417270703 | Debra Kay Richards | Pharmacist | 901 Decatur Hwy, Gardendale, AL 35071-2767 | 2010-03-01 |
| 1104992478 | Debra Richards | Speech-Language Pathologist | 602 Vonderburg Dr, Suite 201, Brandon, FL 33511-5900 | 2006-11-28 |
| Street Address |
14121 DEVAN LEE DR W |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909501 | A1 Staffing, Inc | Acupuncturist | 17982 North Main Street, Jacksonvile, FL 32226 | 2020-07-20 |
| 1518422294 | Brittany Fennell | Dentist | 13201 New Berlin Rd, Jacksonville, FL 32226 | 2019-02-06 |
| 1750672333 | Kristen Duffney | Behavioral Analyst | 12665 White Cedar Trail, Jacksonville, FL 32226 | 2011-04-29 |
| 1780782466 | Alisha Stanford | Dentist | 3118 New Berlin Road, Suite 1, Jacksonville, FL 32226 | 2006-09-20 |
| 1760454037 | Christopher B Scuderi | Family Medicine | 3122 New Berlin Road, Uf New Berlin Family Medicin Center, Jacksonville, FL 32226 | 2006-02-02 |
| 1902418262 | Hannah Lynn Skipper | Pharmacist | 12387 Yellow Bluff Rd, Jacksonville, FL 32226 | 2020-08-18 |
| 1720500093 | Hope and A Future Ministries Inc | Counselor | 7334 Berry Ave, Jacksonville, FL 32226 | 2017-07-08 |
| 1942743430 | Sarah Larrabee | Behavioral Analyst | 13815 Devan Lee Dr E, Jacksonville, FL 32226 | 2016-12-01 |
| 1447350988 | Kristan David Podvia | Dentist | 3118 New Berlin Road, Suite 1, Jacksonville, FL 32226 | 2006-09-24 |
| 1568560118 | Podvia and Stanford Dmds | Dentist | 3118 New Berlin Road, Suite 1, Jacksonville, FL 32226 | 2006-09-20 |
| Find all providers in zip 32226 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710512918 | Westwood Manor Residential Care Home LLC | Custodial Care Facility | 5118 Bilken Dr E, Jacksonville, FL 32210-6348 | 2020-03-08 |
| 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 |
| 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 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32226 |
Please comment or provide details below to improve the information on DEBRA RICHARDS.
| 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.