NPIMap

Organization Active NPI

Mega Nursing Services Inc

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1063666063
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
200710095 Issued in FL
Legal business name
MEGA NURSING SERVICES INC
Practice address
1626 Camden Ave
Jacksonville, FL 32207-8916
Phone
(904) 396-4908
Fax
(904) 396-4910
NPI assigned
Nov 5, 2008
Organization subpart
Yes
Parent organization
MEGA NURSING SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Mr. Alan Lycan
Title
President
Phone
(561) 840-6566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 200710095 FL Primary

Addresses

Primary practice location

1626 Camden Ave
Jacksonville, FL 32207-8916

Mailing address

4910 Dyer Blvd
West Palm Beach, FL 33407-1009
Phone (561) 840-6566

Other identifiers 1

IdentifierTypeStateIssuer
670696702MedicaidFL

Other names 1

  • MEGA NURSING SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mega Nursing Services Inc9 organizations share this tax ID, including this one
Part of
Mega Nursing Services Inc

Other organizations with this tax ID 8

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

Locations

1626 Camden Ave
Jacksonville, FL 32207
Phone (904) 396-4908

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1063666063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 DYER BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071009",
            "telephone_number": "561-840-6566",
            "fax_number": "561-840-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 CAMDEN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078916",
            "telephone_number": "904-396-4908",
            "fax_number": "904-396-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGA NURSING SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEGA NURSING SERVICES INC",
        "enumeration_date": "2008-11-05",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "LYCAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-840-6566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "200710095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670696702",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEGA NURSING SERVICES",
            "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 Nov 16, 2022; 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.