River Region Human Services Residential

LBN: River Region Human Services Residential
River Region Human Services Residential is an health care organization with primary practice located at 2981 Parental Home Rd , Jacksonville FL 32216-5797. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. River Region Human Services Residential can be contacted via phone (904) 899-6300, or through Distefano, John via phone (352) 317-3214.

Contact Information

Primary practice address
2981 Parental Home Rd Jacksonville FL 32216-5797
Phone: (904) 899-6300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Distefano, John
Phone: (352) 317-3214

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1497497234
LBN Legal business name River Region Human Services Residential
DBA Doing business as
Authorized official Distefano, John
Entity Organization
Organization subpart 1 Yes
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 1497497234 NPPES
Florida Other 1046918 DCF

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