Organization Active NPI

Nellsax Home Health Care,LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1124473632
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
233862 Issued in FL
Legal business name
NELLSAX HOME HEALTH CARE,LLC
Practice address
6028 Chester Ave
Jacksonville, FL 32217-1205
Phone
(904) 614-1540
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Roberta Pierre
Title
Owner
Phone
(904) 614-1540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 233862 FL Primary

Addresses

Primary practice location

6028 Chester Ave
Jacksonville, FL 32217-1205

Mailing address

6028 Chester Ave
Jacksonville, FL 32217-1205
Phone (904) 614-1540

Other names 1

  • Nellsax home care Former legal business name

National Provider Directory

National Provider Directory

Locations

6028 Chester Ave
Jacksonville, FL 32217
Phone (904) 614-1540

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1124473632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 CHESTER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322171205",
            "telephone_number": "904-614-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 CHESTER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322171205",
            "telephone_number": "904-614-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLSAX HOME HEALTH CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-614-1540"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "233862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nellsax home care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 3, 2016; 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.