Organization Active NPI

SHC Home Health Services - Jacksonville, LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1134557630
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHC HOME HEALTH SERVICES - JACKSONVILLE, LLC
Doing business as
Signature HomeNow
Practice address
13241 Bartram Park Blvd Unit 1909
Jacksonville, FL 32258-5228
Phone
(904) 419-4994
Fax
(904) 419-4990
NPI assigned
Oct 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
John Harrison
Title
Cfo
Phone
(502) 568-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13241 Bartram Park Blvd Unit 1909
Jacksonville, FL 32258-5228

Mailing address

13241 Bartram Park Blvd Unit 1909
Jacksonville, FL 32258-5228
Phone (904) 419-4994

Other names 1

  • Signature HomeNow Doing business as

National Provider Directory

National Provider Directory

Locations

13241 Bartram Park Blvd
Unit 1909
Jacksonville, FL 32258
Phone (904) 419-4994

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1134557630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 1909",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585228",
            "telephone_number": "904-419-4994",
            "fax_number": "904-419-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 1909",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585228",
            "telephone_number": "904-419-4994",
            "fax_number": "904-419-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHC HOME HEALTH SERVICES - JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HomeNow",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature HomeNow",
            "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 Apr 30, 2018; 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.