Southpoint Terrace

LBN: Jacksonville Extended Care, Llc
Southpoint Terrace is an health care organization with primary practice located at 4325 Southpoint Blvd , Jacksonville FL 32216-6166. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Jacksonville Extended Care, Llc can be contacted via phone (904) 245-7620, or through Marsh, Donna J via phone (380) 255-1054.

Contact Information

Primary practice address
4325 Southpoint Blvd Jacksonville FL 32216-6166
Phone: (904) 245-7620
Fax: (904) 281-9956
Website:
Map and Directions
Authorized official contact:
Name: Marsh, Donna J
Phone: (380) 255-1054

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 130471028 Florida

Profile Details

NPI number 1700855939
LBN Legal business name Jacksonville Extended Care, Llc
DBA Doing business as Southpoint Terrace
Authorized official Marsh, Donna J
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 25th, 2012 - about 14 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 1700855939 NPPES
Florida MEDICAID 026628100

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