Chris Adams

Individual provider Active NPI Home Health Agency · Orange Park, FL

NPI 1053918664 · NPPES record last updated Oct 6, 2020

Key facts

NPI
1053918664
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
License
299995121 (FL)
Practice address
155 Blanding Blvd Ste 10
Orange Park, FL 32073-2624
Phone
(904) 654-2582
NPI assigned
Oct 6, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
299995121FLMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Cja Senior Associates LLC Dba a Place at Home Orange Park Current
since Jul 25, 2021
Accepting new patients

Locations

155 Blanding Blvd
Ste 10
Orange Park, FL 32073
Phone (904) 654-2582

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299995121 FL Yes

Addresses

Primary practice location

155 Blanding Blvd Ste 10
Orange Park, FL 32073-2624

Mailing address

155 Blanding Blvd Ste 10
Orange Park, FL 32073-2624
Phone (904) 710-5269

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address chris.adams@aplaceathome.com Health Information Exchange (HIE)

Other providers in Orange Park, FL

All providers in Orange Park, FL · Home Health Agency in Florida

Sources for this page

Verify at the official NPI Registry.