Active NPI
Ahp Home Healthcare Inc.
- Attendant Care Provider
- Jacksonville, FL
National Provider Identifier
1114962859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- AHP HOME HEALTHCARE INC.
- Practice address
- 7737 Lueders Ave
Jacksonville, FL 32208-3623 - Phone
- (904) 766-1285
- Fax
- (904) 766-0995
- NPI assigned
- Jun 17, 2006
- Last updated
- Oct 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlene Louise Austin
- Title
- Ceo
- Phone
- (904) 766-1285
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Health Service Clinic/Center | 261QH0100X | NU | ||
| Attendant Care Provider | 3747A0650X | NU | Primary |
Addresses
Primary practice location
7737 Lueders Ave
Jacksonville, FL 32208-3623
Mailing address
7737 Luedes Ave
Jacksonville, FL 32208-3623
Phone (904) 766-1285
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650538401 | Medicaid | FL | |
| 650538402 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
7737 Lueders Ave
Jacksonville, FL 32208
Phone (904) 766-1285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666137600000",
"number": "1114962859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7737 LUEDES AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322083623",
"telephone_number": "904-766-1285",
"fax_number": "904-766-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7737 LUEDERS AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322083623",
"telephone_number": "904-766-1285",
"fax_number": "904-766-0995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHP HOME HEALTHCARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "CHARLENE",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-766-1285"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "650538401",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "650538402",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 19, 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.