NPI
New Jerusalem Transitional Housing LLC
Phone (904) 834-1113 · NPI 1962189027
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2023-06-30
- Last updated
- 2023-06-30
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 2041 Talladega Rd
- City
- Jacksonville FL
- Postal code
- 32209-2639
- Phone
- (904) 834-1113
Organization contact
- Name
- De'aris Henry
- Title
- Medicaid
- Phone
- (904) 834-1113
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Clinic/Center, Developmental Disabilities providers in Jacksonville, FL. 51 with this primary taxonomy in the public file.
Other NPIs in Jacksonville, FL. 31,483 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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