Suncoast New Options High Desert Court, LLC
Intermediate Care Facility, Intellectual Disabilities in Jacksonville, FL. Organization (NPI-2).
Details
- NPI
- 1982286530
- Entity type
- Organization (NPI-2)
- Legal business name
- Suncoast New Options High Desert Court, LLC
- Organization subpart
- No
- Enumeration date
- Apr 23, 2021
- Certification date
- Apr 23, 2021
- Last updated
- Apr 23, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Practice location
11818 High Desert CtJacksonville, FL 32218-3629
Phone 919-390-2980
Mailing address
6531 Meridien Dr Ste 103Raleigh, NC 27616-3213
Authorized official
Mary Johns Benson
Director Of Billing
3365535946
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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