Delois Shipp

LBN: Shipp Adult Family Care Home
Delois Shipp is an health care organization with primary practice located at 8942 6Th Ave , Jacksonville FL 32208-2126. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as the primary health care specialty. Shipp Adult Family Care Home can be contacted via phone (904) 766-1850, or through Shipp, Delois W via phone (904) 766-1850.

Contact Information

Primary practice address
8942 6Th Ave Jacksonville FL 32208-2126
Phone: (904) 766-1850
Fax: (904) 766-1850
Website:
Map and Directions
Authorized official contact:
Name: Shipp, Delois W
Phone: (904) 766-1850

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X AF33 Florida

Profile Details

NPI number 1851711279
LBN Legal business name Shipp Adult Family Care Home
DBA Doing business as Delois Shipp
Authorized official Shipp, Delois W
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2014
Last updated Sep 14th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851711279 NPPES
Florida MEDICAID 141412700

Popular Providers