MEDICARE: RIVER REGION HUMAN SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568507853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVER REGION HUMAN SERVICES INC

Provider Business Mailing Address
First Line	:	3901 CARMICHAEL AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-2325
Country	:	US
Telephone Number	:	904-899-6300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 CARMICHAEL AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-2325
Country	:	US
Telephone Number	:	904-899-6300
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL CONSULTANT
Name	:	JOHN DISTEFANO
Credential	:
Telephone Number	:	352-317-3214

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	04/12/2022

Similar Medicare Providers

1225623184 — RIVER REGION HUMAN SERVICES INC
Practice Location Address:

3901 CARMICHAEL AVE
JACKSONVILLE, FL
32207-2325

Practice Phone: 904-899-6300
Practice Fax:

1639800626 — KAYLA JEANINE BREWER
Practice Location Address:

3901 CARMICHAEL AVE
JACKSONVILLE, FL
32207-2325

Practice Phone: 904-899-6300
Practice Fax:

1891702676 — FROM THE HEART MEDWAIVER PROVIDER, INC
Practice Location Address:

3001 PERCY RD
JACKSONVILLE, FL
32218-2325

Practice Phone: 904-764-3127
Practice Fax: 904-764-2659

1235481367 — MRS. SARAH GRAVES
Practice Location Address:

4120 TRIESTE PL
JACKSONVILLE, FL
32244-2325

Practice Phone: 904-304-0645
Practice Fax:

1104165745 — BRITTA FORTSON M.A. CCC-SLP
Practice Location Address:

4136 TRIESTE PL
JACKSONVILLE, FL
32244-2325

Practice Phone: 904-387-0349
Practice Fax:

1013478627 — ERICA LEA BARRETT MA
Practice Location Address:

13504 CITICARDS WAY UNIT 2325
JACKSONVILLE, FL
32258-6529

Practice Phone: 814-969-8228
Practice Fax:

Directions to “RIVER REGION HUMAN SERVICES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.