Marina Campos in Jacksonville - Adult Care Home
Marina Campos - NPI 1669631214
Marina Campos is a Adult Care Home in Jacksonville, Florida. Marina Campos practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Marina Campos is 1669631214. The last update date is 2008-06-07.
Marina Campos's current location address is 2264 Dellwood Ave, Jacksonville, Florida. You can contact this provider via phone number 9043843888. The mailing address for Marina Campos is 2264 Dellwood Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marina Campos |
|---|---|
| Address | 2264 Dellwood Ave, Jacksonville, Florida |
| Phone Number | 9043843888 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669631214 |
|---|---|
| Provider Enumeration Date | 2008-06-07 |
| Last Updated Date | 2008-06-07 |
Provider Mailing Address Detail
| Address | 2264 Dellwood Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322043102 |
| Phone Number | 9043843888 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | 6905793 |
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Definition: 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 en |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 142300200 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marina Campos by the Centers for Medicare & Medicaid Services?
The Marina Campos has been issued the NPI (National Provider Identifier) 1669631214 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Marina Campos?
The Marina Campos is situated at 2264 Dellwood Ave, in the city of Jacksonville, state of FL, with the zip code 322043102.
What is the Marina Campos's area of specialization and corresponding taxonomy classification?
The Marina Campos's specialty field is Adult Care Home, and it falls under the taxonomy code 311Za0620X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1669631214 to Marina Campos?
The Centers for Medicare & Medicaid Services assigned the 1669631214 to Marina Campos on 2008-06-07.
When was the information regarding Marina Campos, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Marina Campos, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-07.