Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New Jerusalem Transitional Housing LLC

Organization Developmental Disabilities Clinic/Center · NPI 1962189027

New Jerusalem Transitional Housing LLC is a Developmental Disabilities Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2041 Talladega Rd
Jacksonville, FL 32209-2639
Phone: (904) 834-1113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X

Record details

NPI number1962189027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official De'Aris Henry — Medicaid · (904) 834-1113
NPI enumeratedJune 30, 2023
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023
Mailing address2041 Talladega Rd, Jacksonville, FL 32209-2639

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