MJKD Group

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

231142 Issued in FL

Legal business name

MJKD GROUP

Doing business as

Visiting Angels

Practice address

144 Arlington Road South
Suite 3
Jacksonville, FL 32216

Phone

(904) 302-7560

Fax

(904) 352-2357

NPI assigned

Sep 22, 2011

Organization subpart

No

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

Authorized official

Name

Donald E Hardy Jr.

Title

General Manager

Phone

(904) 302-7560

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Doing business as

Locations

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1205119500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 ARLINGTON ROAD SOUTH",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "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 ROAD SOUTH",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-302-7560",
            "fax_number": "904-352-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJKD GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "904-302-7560",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "231142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.