Organization Active NPI

Encompass Care Company, Inc.

  • Substance Abuse Rehabilitation Facility
  • Jacksonville, FL
National Provider Identifier
1003858655
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Aug 28, 2023

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.