Provider Demographics
NPI:1073738415
Name:JOYCE FRANCIS
Entity Type:Organization
Organization Name:JOYCE FRANCIS
Other - Org Name:JJ'S GROUP HOME& WRAPAROUND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR,OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-460-1416
Mailing Address - Street 1:22452 LAURELDALE DR
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-8783
Mailing Address - Country:US
Mailing Address - Phone:800-460-1416
Mailing Address - Fax:800-460-1416
Practice Address - Street 1:22452 LAURELDALE DR
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-8783
Practice Address - Country:US
Practice Address - Phone:800-460-1416
Practice Address - Fax:800-460-1416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 174400000X
FL102L00000X, 251S00000X
FL686478396320900000X, 385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, ChildGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686478396Medicaid