First Coast Caregivers, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299994392 Issued in FL

Legal business name

FIRST COAST CAREGIVERS, LLC

Doing business as

Visiting Angels

Practice address

3733 University Blvd W Ste 212
Jacksonville, FL 32217-2155

Phone

(904) 394-3203

Fax

(904) 485-8882

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Gary S Jurenovich

Title

Owner

Phone

(904) 394-3203

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Doing business as

Locations

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1083121412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 UNIVERSITY BLVD W STE 212",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172155",
            "telephone_number": "904-394-3203",
            "fax_number": "904-485-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 UNIVERSITY BLVD W STE 212",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172155",
            "telephone_number": "904-394-3203",
            "fax_number": "904-485-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST CAREGIVERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "JURENOVICH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-394-3203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.