Jax Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992175 Issued in FL

Legal business name

JAX HOME HEALTH, INC.

Practice address

9191 R G Skinner Pkwy
Suite 803
Jacksonville, FL 32256-9655

Phone

(904) 363-6699

Fax

(904) 363-6698

NPI assigned

Sep 23, 2016

Organization subpart

No

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

Authorized official

Name

Mr. David A Hill

Title

Owner/Ceo

Phone

(904) 363-6699

Specialties & licenses 2

Addresses

Other names 1

• Home Instead Senior Care Doing business as

Tax ID family

Home Instead Senior Care2 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.

• Home Instead Senior Care

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1508294802
  NPD tax ID

Locations

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1174072722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 R G SKINNER PKWY",
            "address_2": "SUITE 803",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569655",
            "telephone_number": "904-363-6699",
            "fax_number": "904-363-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 R G SKINNER PKWY",
            "address_2": "SUITE 803",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569655",
            "telephone_number": "904-363-6699",
            "fax_number": "904-363-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "904-363-6699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992175",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jax FL Opco LLC
• Jax Healthcare LLC
• Jax Injury Care LLC
• Jax Integrity Partners, Inc.
• Jax Laboratories, LLC
• Jax Medical Inc
• Jax Medicalassoc.,Inc.

• 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 Sep 23, 2016; 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.