Organization Active NPI

Ellis-Moore Coroporation

  • Pediatric Skilled Nursing Facility
  • Jacksonville, FL
National Provider Identifier
1114737178
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
ELLIS-MOORE COROPORATION
Practice address
7207 Golden Wings Rd Ste 300
Jacksonville, FL 32244-3324
Phone
(904) 710-0437
Fax
(904) 475-2706
NPI assigned
Jan 11, 2025
Organization subpart
Yes
Parent organization
ELLIS-MOORE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Mrs. Joni Hughes, RN
Title
Owner/Administrator
Phone
(904) 710-0437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

7207 Golden Wings Rd Ste 300
Jacksonville, FL 32244-3324

Mailing address

3901 University Blvd S Ste 125
Jacksonville, FL 32216-4375
Phone (904) 683-4355

Other names 1

  • JumpStart Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ellis-Moore Coroporation2 organizations share this tax ID, including this one
Part of
Ellis-Moore Coroporation

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1114737178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S STE 125",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164375",
            "telephone_number": "904-683-4355",
            "fax_number": "904-683-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 GOLDEN WINGS RD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322443324",
            "telephone_number": "904-710-0437",
            "fax_number": "904-475-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS-MOORE COROPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLIS-MOORE CORPORATION",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "904-710-0437",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JumpStart Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JumpStart Pediatrics",
            "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 Jun 4, 2025; 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.