COMMUNTIY REHABILITATION CENTER, INC. (NPI# 1952304511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952304511 |
| Entity Type | Organization |
| Organization Name | COMMUNTIY REHABILITATION CENTER, INC. |
| Other Organization Name | NONE |
| Practice Address |
623 Beechwood St Jacksonville FL 32206-6236 |
| Practice Telephone | 9043581211 |
| Practice Fax Number | 9043581551 |
| Mailing Telephone | 9043581211 |
| Mailing Fax Number | 9043581551 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. REGINALD L GAFFNEY SR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9043581211 |
| Authorized Official Credential | EXECUTIVE DIRECT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | FL | Agencies |
| Other Name | Type Code |
|---|---|
| None | Doing Business As Name - Organization |
| Street Address |
623 BEECHWOOD ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32206-6236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1790854669 | Communityrehabilitation Center Inc | Day Training, Developmentally Disabled Services | 623 Beechwood St, Jacksonville, FL 32206-6236 | 2006-11-07 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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| 1104470749 | Elite Home Care of Jax LLC | Case Management | 16334 Dawnwood Ct, Jacksonville, FL 32218-0107 | 2019-07-31 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1912560616 | Step-by-step Behavioral Health Services, LLC | Case Management | 3107 Spring Glen Rd Ste 213, Jacksonville, FL 32207-5922 | 2019-04-17 |
| 1750848347 | Dreamers Vision Academy | Case Management | 4449 Lincrest Dr S, Jacksonville, FL 32208-1976 | 2019-03-01 |
| 1306329305 | One Call Government Solutions, LLC | Case Management | 841 Prudential Dr Ste 204, Jacksonville, FL 32207-8347 | 2018-09-14 |
| 1174000327 | Rudella's Total Health and Wellness Center | Case Management | 8410 Cheswick Oak Ave, Jacksonville, FL 32244-7352 | 2018-07-20 |
| 1194219360 | Deana Roberts | Case Management | 3954 Anderson Woods Dr, Jacksonville, FL 32218-9218 | 2018-06-20 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32206 |
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| 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.