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

Supporting Individuals with Disabilities Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1962250233

Supporting Individuals with Disabilities Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fernandina Beach, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

95129 Springhill Rd
Fernandina Beach, FL 32034-9410
Phone: (904) 507-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X

Record details

NPI number1962250233
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Freeman — Administrator · (904) 507-9976
Other names Siwdinc
NPI enumeratedMay 10, 2024
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing address95129 Springhill Rd, Fernandina Beach, FL 32034-9410

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