St John Support Services, Inc

LBN: St John Support Services, Inc
St John Support Services, Inc is an health care organization with primary practice located at 435 Clark Rd Ste 408-3 , Jacksonville FL 32218-8505. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. St John Support Services, Inc can be contacted via phone (904) 768-6116, or through Ishman-Holt, Theresa A via phone (904) 768-6116.

Contact Information

Primary practice address
435 Clark Rd Ste 408-3 Jacksonville FL 32218-8505
Phone: (904) 768-6116
Fax: (904) 713-0307
Website:
Map and Directions
Authorized official contact:
Name: Ishman-Holt, Theresa A
Phone: (904) 768-6116

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1023279478
LBN Legal business name St John Support Services, Inc
DBA Doing business as
Authorized official Ishman-Holt, Theresa A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2008
Last updated Jun 18th, 2008 - about 17 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 1023279478 NPPES
Florida MEDICAID 6917585-98
Florida MEDICAID 6917585-96

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