Individual provider · Type 1 NPI

Shaparis Denmark

Custodial Care Facility · Jacksonville, FL

NPI number 1104773852 Active

Practice location

5868 Lenox Ave
Jacksonville, FL 32205-6381

Mailing address

136 Creekmore Dr
St. Augustine, FL 32092-3252

Specialties and licenses

TaxonomyCodeLicense
Custodial Care Facility Primary 311Z00000XNone listed

Custodial Care Facility: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or pa…

About NPI 1104773852

Shaparis Denmark's National Provider Identifier is 1104773852, issued on Mar 12, 2026. The primary taxonomy on file is Custodial Care Facility (311Z00000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 12, 2026.