NPIMap

Organization Active NPI

Aurora Health Services

  • Case Management Agency
  • Jacksonville, FL
National Provider Identifier
1184001828
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AURORA HEALTH SERVICES
Practice address
4651 Salisbury Rd
Suite 400
Jacksonville, FL 32256-6107
Phone
(678) 333-9065
NPI assigned
May 1, 2015
Last updated
May 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Tyana Davenport
Title
Owner
Phone
(678) 333-9065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4651 Salisbury Rd
Suite 400
Jacksonville, FL 32256-6107

Mailing address

11305 Dunleaf Arc Way
Norcross, GA 30093-7210

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1184001828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11305 DUNLEAF ARC WAY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300937210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SALISBURY RD",
            "address_2": "SUITE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566107",
            "telephone_number": "678-333-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "TYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-333-9065"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 1, 2015; 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.