Larue Estates

LBN: Larue Estates
Larue Estates is an health care organization with primary practice located at 8426 Delaware Ave , Jacksonville FL 32208-2841. The organization recently has 6 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Larue Estates can be contacted via phone (904) 370-3575, or through Griggs, Johnel via phone (904) 370-3575.

Contact Information

Primary practice address
8426 Delaware Ave Jacksonville FL 32208-2841
Phone: (904) 370-3575
Fax: (904) 683-0147
Website:
Map and Directions
Authorized official contact:
Name: Griggs, Johnel
Phone: (904) 370-3575

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Florida
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1124533948
LBN Legal business name Larue Estates
DBA Doing business as Larue Estates
Authorized official Griggs, Johnel
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2017
Last updated Dec 4th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124533948 NPPES
Florida MEDICAID 1508222076

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