Park Homecare Management,Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991231 Issued in FL

Legal business name

PARK HOMECARE MANAGEMENT,INC

Doing business as

Fletcher's Home Care

Practice address

12443 San Jose Blvd #501
Jacksonville, FL 32223

Phone

(904) 733-4350

NPI assigned

Mar 7, 2006

Last updated

Feb 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Huggins

Title

Office MGR

Phone

(904) 733-4350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fletcher's Home Care Doing business as

Locations

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1144297391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12443 SAN JOSE BLVD #501",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32223",
            "telephone_number": "904-733-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12443 SAN JOSE BLVD #501",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32223",
            "telephone_number": "904-733-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HOMECARE MANAGEMENT,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "HUGGINS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "904-733-4350"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650904500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fletcher's Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fletcher's Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christin A Parise, ARNP
• Christine Lynn Parisen, LMHC
• Park & King Pharmacy Inc (Park and King Pharmacy Inc)
• Park Avenue Heart and Vascular Center LLC
• Debra M Park Burdon, RT
• Park Ridge Nursing & Rehab Center LLC
• Holly Hyunjung Park-Nah, DDS
• Charles Sue Park, MD
• Chin W. Park
• Kwang SE Park, M.D.

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.