Organization Active NPI

Ahp Home Healthcare Inc.

  • Attendant Care Provider
  • Jacksonville, FL
National Provider Identifier
1114962859
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
650538401MedicaidFL
650538402MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.