Active NPI
Jax Integrity Partners, Inc.
- Home Health Agency
- Jacksonville, FL
National Provider Identifier
1154749141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299994100
- Legal business name
- JAX INTEGRITY PARTNERS, INC.
- Practice address
- 144 Arlington Rd S
Suite #1
Jacksonville, FL 32216-7203 - Phone
- (904) 302-7560
- Fax
- (904) 352-2357
- NPI assigned
- Apr 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald Hardy Jr.
- Title
- Administrator
- Phone
- (904) 302-7560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299994100 | FL | Primary |
Addresses
Primary practice location
144 Arlington Rd S
Suite #1
Jacksonville, FL 32216-7203
Mailing address
144 Arlington Rd S
Suite #1
Jacksonville, FL 32216-7203
Phone (904) 302-7560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299994100 | Other | FL | AHCA HOME HEALTH AGENCY LICENSE |
| 232729 | Other | FL | AHCA HOMEMAKER & COMPANION SERVICES LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Jax Integrity Partners Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1326416215
Locations
144 Arlington Rd S
Ste 1
Jacksonville, FL 32216
Phone (904) 302-7560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396828800000",
"number": "1154749141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 ARLINGTON RD S",
"address_2": "SUITE #1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322167203",
"telephone_number": "904-302-7560",
"fax_number": "904-352-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 ARLINGTON RD S",
"address_2": "SUITE #1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322167203",
"telephone_number": "904-302-7560",
"fax_number": "904-352-2357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAX INTEGRITY PARTNERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-07",
"last_updated": "2014-04-07",
"status": "A",
"authorized_official_last_name": "HARDY",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "904-302-7560",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299994100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA HOME HEALTH AGENCY LICENSE",
"identifier": "299994100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA HOMEMAKER & COMPANION SERVICES LICENSE",
"identifier": "232729",
"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 Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.