Eisenhower Jacksonville Group LLC
NPI 1417494485 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jacksonville, FL
Eisenhower Jacksonville Group LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Jacksonville, FL (NPI 1417494485).
Provider details
- NPI number
- 1417494485
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Moriah Incoorporated
- Organization subpart
- Yes
- Authorized official
- Ann Pendley, President(734) 677-0070
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-01-27
- Last updated
- 2021-09-28
- Certified
- 2021-09-28
Frequently asked questions
- What is Eisenhower Jacksonville Group LLC's NPI number?
- Eisenhower Jacksonville Group LLC's National Provider Identifier (NPI) is 1417494485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eisenhower Jacksonville Group LLC?
- Eisenhower Jacksonville Group LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Eisenhower Jacksonville Group LLC located?
- Eisenhower Jacksonville Group LLC's practice location on file with NPPES is 2671 Huffman Blvd, Jacksonville, FL 32246-4056.
- What is Eisenhower Jacksonville Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Eisenhower Jacksonville Group LLC is (734) 677-0070.
- Who is the authorized official for Eisenhower Jacksonville Group LLC?
- The authorized official listed on Eisenhower Jacksonville Group LLC's NPPES record is Ann Pendley, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eisenhower Jacksonville Group LLC's NPI active?
- Yes — Eisenhower Jacksonville Group LLC's NPI (1417494485) is active in the NPPES registry as of the last update on 2021-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.