NPIMap

Organization Active NPI

Caretenders Visiting Services of St. Augustine, LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1023632569
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CARETENDERS VISITING SERVICES OF ST. AUGUSTINE, LLC
Practice address
6621 Southpoint Dr N Ste 310
Jacksonville, FL 32216-8021
Phone
(904) 346-3026
Fax
(904) 346-3074
NPI assigned
Jun 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua L Proffitt
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6621 Southpoint Dr N Ste 310
Jacksonville, FL 32216-8021

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other practice location 1

6789 Southpoint Pkwy Ste 200
Jacksonville, FL 32216-8206
Phone (904) 346-3026

Other names 1

  • Apex Companion Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Apex Companion Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6621 Southpoint Dr N
Ste 310
Jacksonville, FL 32216
Phone (904) 346-3026

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1023632569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 SOUTHPOINT DR N STE 310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168021",
            "telephone_number": "904-346-3026",
            "fax_number": "904-346-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6789 Southpoint Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168206",
            "country_code": "US",
            "telephone_number": "904-346-3026",
            "fax_number": "904-346-3074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARETENDERS VISITING SERVICES OF ST. AUGUSTINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Companion Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apex Companion Care",
            "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 Sep 11, 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.