Rachelle Homehealth Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

RACHELLE HOMEHEALTH CARE LLC

Practice address

8539 Gate Pkwy W Unit 9134
Jacksonville, FL 32216-1037

Phone

(904) 415-0913

NPI assigned

Oct 26, 2020

Organization subpart

No

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

Authorized official

Name

Rachelle WilliamsNPI 1790253482

Title

Register Nurse

Phone

(904) 415-0913

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Rachelle Williams

  • Home Health Registered Nurse
  • Jacksonville, FL
  • NPI 1790253482
  NPD Authorized official

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1124628565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 GATE PKWY W UNIT 9134",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8539 GATE PKWY W UNIT 9134",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161037",
            "telephone_number": "904-415-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHELLE HOMEHEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "REGISTER NURSE",
        "authorized_official_telephone_number": "904-415-0913"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102108200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ferenc Rabai, M.D.
• Jeanne Elyse Rabalais, MD
• Bennett Rachal, MS
• Kristina Rached, M.D.
• Rachel Hollenbach, LLC
• Loudine Racius, ARNP
• Alexzandrya Rackley
• Christopher Thomas Rackley, PSYD
• Brittany Rada, DO
• Christian Alexander Rada, DO

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.