Concierge Care of Orange Park, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CONCIERGE CARE OF ORANGE PARK, LLC

Practice address

1857 Wells Rd Ste 5B
Orange Park, FL 32073-2339

Phone

(904) 441-6860

NPI assigned

Nov 30, 2021

Organization subpart

No

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

Authorized official

Name

Nancy Ralston

Title

Managing Partner

Phone

(904) 534-1655

Specialties & licenses 1

Addresses

Other names 1

• Concierge Care Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1093473712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1004",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168201",
            "telephone_number": "904-861-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 WELLS RD STE 5B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732339",
            "telephone_number": "904-441-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE CARE OF ORANGE PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "904-534-1655"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Company",
            "affiliation": "N",
            "endpointDescription": "Managed by Venture Point",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1857 Wells Rd Ste 5B",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320732339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Concierge Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.