Organization Active NPI

Jax Integrity Partners, Inc.

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1154749141
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299994100 Issued in FL
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

Updated by the provider on Apr 7, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
299994100OtherFLAHCA HOME HEALTH AGENCY LICENSE
232729OtherFLAHCA HOMEMAKER & COMPANION SERVICES LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Jax Integrity Partners Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.