Organization Active NPI

Florida First Care, Inc.

  • Home Health Agency
  • Orange Park, FL
National Provider Identifier
1215220421
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FLORIDA FIRST CARE, INC.
Practice address
1536 Kingsley Ave Ste 127
Orange Park, FL 32073-4525
Phone
(904) 579-3932
Fax
(904) 579-3954
NPI assigned
May 20, 2011
Last updated
Sep 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Mr. Charles William Engelbrecht
Title
President
Phone
(904) 579-3932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1536 Kingsley Ave Ste 127
Orange Park, FL 32073-4525

Mailing address

1536 Kingsley Ave Ste 127
Orange Park, FL 32073-4525
Phone (904) 579-3932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

708 Physicians Ct
Ste 2
Leesburg, FL 34748
Phone (352) 315-1371

3911 N Highway 19A
#3
Mount Dora, FL 32757
Phone (352) 735-2008

1536 Kingsley Ave
Ste 127
Orange Park, FL 32073
Phone (904) 579-3932

800 Zeagler Dr
Ste 220
Palatka, FL 32177
Phone (386) 325-8900

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
May 17, 2021 Change of OwnershipThis provider was the seller Brooks Rehabiliation Home HealthCCN 103174, FL, NPI 1184895740

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1215220421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 KINGSLEY AVE STE 127",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734525",
            "telephone_number": "904-579-3932",
            "fax_number": "904-579-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 KINGSLEY AVE STE 127",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734525",
            "telephone_number": "904-579-3932",
            "fax_number": "904-579-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FIRST CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "ENGELBRECHT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-579-3932",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.