Active NPI
Encompass Care Company, Inc.
- Substance Abuse Rehabilitation Facility
- Jacksonville, FL
National Provider Identifier
1003858655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ENCOMPASS CARE COMPANY, INC.
- Practice address
- 4131 University Blvd S Ste 10
Jacksonville, FL 32216-4346 - Phone
- (508) 769-2707
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Boris Bergus, M.D.
- Title
- Administrator
- Phone
- (508) 769-2707
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Home Health Agency | 251E00000X | MA | ||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
4131 University Blvd S Ste 10
Jacksonville, FL 32216-4346
Mailing address
244 Silver Glen Ave
Saint Augustine, FL 32092-2470
Phone (508) 769-2707
Other practice location 1
6 Blackstone Valley Pl Ste 301
Lincoln, RI 02865-1112
Phone (401) 305-3028
Other practice location 2
122 Pine St
Rehoboth, MA 02769-1424
Phone (508) 769-2707
Other names 1
- Accessible Home Health Care of South Central Massachusetts
National Provider Directory
National Provider DirectoryLocations
4131 University Blvd S
Ste 10
Jacksonville, FL 32216
Phone (508) 769-2707
2 Park Central Dr
Ste 210
Southborough, MA 01772
Phone (508) 481-8346
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Norwood, MA
- NPI 1841385317
-
- Vascular Surgery Physician
- Malden, MA
- NPI 1326016890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693180800000",
"number": "1003858655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 SILVER GLEN AVE",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320922470",
"telephone_number": "508-769-2707",
"fax_number": "508-203-4685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 UNIVERSITY BLVD S STE 10",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164346",
"telephone_number": "508-769-2707"
}
],
"practiceLocations": [
{
"address_1": "6 Blackstone Valley Pl Ste 301",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "RI",
"postal_code": "028651112",
"country_code": "US",
"telephone_number": "401-305-3028",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "122 Pine St",
"address_purpose": "LOCATION",
"city": "Rehoboth",
"state": "MA",
"postal_code": "027691424",
"country_code": "US",
"telephone_number": "508-769-2707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ENCOMPASS CARE COMPANY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A",
"authorized_official_last_name": "BERGUS",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "508-769-2707",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Accessible Home Health Care of South Central Massachusetts",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Accessible Home Health Care of South Central Massachusetts",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
- Empowering Changes Support Services LLC
- Empowering Home Care Group Homes, LLC
- Empowerment Programs, Inc.
- Amanda Caroline Emrick, BCBA
- Emsj of Northeast Florida PLLC
- Encompass Health Rehabilitation Hospital of Jacksonville, LLC
- Endeavor Swallowing Solutions
- Raymond Enderby
- Endless Possibilities of Hope LLC
- Endocrine Cre Center, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.