My Father'S House Support Services Llc

LBN: My Father'S House Support Services Llc
My Father'S House Support Services Llc is an health care organization with primary practice located at 1130 W 28Th St , Jacksonville FL 32209-4012. The organization recently has 9 registered licenses in different health care specialties including Other Service Providers / Lodging, Agencies / Local Education Agency (LEA), Agencies / Day Training, Developmentally Disabled Services, Agencies / Hospice Care, Community Based, Agencies / Foster Care Agency, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Developmental Disabilities, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. My Father'S House Support Services Llc can be contacted via phone (904) 576-5756, or through Powell, Jemel A via phone (904) 576-5756.

Contact Information

Primary practice address
1130 W 28Th St Jacksonville FL 32209-4012
Phone: (904) 576-5756
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Powell, Jemel A
Phone: (904) 576-5756

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X
Agencies / Local Education Agency (LEA) 251300000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Hospice Care, Community Based 251G00000X
Agencies / Foster Care Agency 253J00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1932841590
LBN Legal business name My Father'S House Support Services Llc
DBA Doing business as
Authorized official Powell, Jemel A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2022
Last updated Apr 12th, 2022 - about 2 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 1932841590 NPPES
Florida MEDICAID 1205402870

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