JRA ADULT FAMILY CARE HOME – NPI #1356778526
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

JRA ADULT FAMILY CARE HOME is a residential treatment facility located in PALM COAST, FL. NPPES has assigned the NPI number 1356778526 to JRA ADULT FAMILY CARE HOME on October 03, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 JRA ADULT FAMILY CARE HOME below.

NPI Profile for
JRA ADULT FAMILY CARE HOME

NPI Number
1356778526
Enumeration Date

(more than 12 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
JRA ADULT FAMILY CARE HOME
Primary location
41 WOODLAWN DR
PALM COAST, FL 32164
Phone: (386) 931-9871 Fax: (386) 585-4962
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSEPH APOLLON
PRESIDENT & CEO
Phone: (386) 931-9871
Updated
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
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 FL 6906482

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.