Eisenhower Jacksonville Group Llc
Psychiatric Residential Treatment Facility in Jacksonville, Florida
NPI 1417494485
Eisenhower Jacksonville Group Llc is a Psychiatric Residential Treatment Facility based in Jacksonville, FL. Eisenhower Jacksonville Group Llc practices in Jacksonville, FL. The NPI Number for Eisenhower Jacksonville Group Llc is 1417494485 and holds a License No. (Florida).
The current practice location address for Eisenhower Jacksonville Group Llc is 2671 Huffman Blvd, Jacksonville, FL and can be reached out via phone at 734-677-0070 and via fax at 734-677-0890. You can also correspond with Eisenhower Jacksonville Group Llc through the mailing address at 2671 HUFFMAN BLVD, JACKSONVILLE, FL - 32246-4056 (mailing address contact number: 734-677-0070).
Location: 2671 Huffman Blvd, Jacksonville, FL, 32246-4056
Provider Profile Details
NPI Number
1417494485
Provider Name
Eisenhower Jacksonville Group Llc
Credential
Provider Entity Type
Organization
Address
2671 Huffman Blvd, Jacksonville, FL, 32246-4056
Phone Number
734-677-0070
Fax Number
734-677-0890
Provider Enumeration Date
01/27/2017
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558544130 | 01 | FL | TRANSITIONAL LIVING FACILITY |
Provider Business Practice Location Address Details
Address
2671 Huffman Blvd
City
State
Zip
32246-4056
Phone Number
734-677-0070
Fax Number
734-677-0890
Provider Business Mailing Address Details
Address
2671 Huffman Blvd
City
State
Zip
32246-4056
Phone Number
734-677-0070
Fax Number
734-677-0890
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Brain Injury Medicine
Taxonomy
License No.
()
Definition
A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Provider's Taxonomy Details 7
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 8
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Provider's Taxonomy Details 9
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
License No.
()
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
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