RIVER CITY COMPANIONSHIP L.L.C. – NPI #1811412539
Clinic/Center

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

RIVER CITY COMPANIONSHIP L.L.C. is an AHC clinic located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1811412539 to RIVER CITY COMPANIONSHIP L.L.C. on August 03, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RIVER CITY COMPANIONSHIP L.L.C.” is a dba name, the actual legal business name for this organization is RIVER CITY COMPANIONSHIP LLC. The primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVER CITY COMPANIONSHIP L.L.C. below.

NPI Profile for
RIVER CITY COMPANIONSHIP LLC

NPI Number
1811412539
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVER CITY COMPANIONSHIP LLC
Doing Business As (dba): RIVER CITY COMPANIONSHIP L.L.C.
Primary location
7857 DELAROCHE DRIVE
JACKSONVILLE, FL 32210
Phone: (904) 378-0561 Fax: (904) 378-0561
Mailing address
7857 DELAROCHE DR
JACKSONVILLE, FL 32210-2566
Phone: (904) 378-0561 Fax: (904) 378-0561
Organization Subpart
No
Authorized Official
SHELI MCCALLISTER
OWNER/CEO
Phone: (850) 241-4937
Updated
Identifiers

Identifiers for RIVER CITY COMPANIONSHIP L.L.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL021062800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD1600X
- Clinic/Center / Developmental Disabilities (Primary)
FL 234691

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.