Arc Carriage Club of Jacksonville, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ARC CARRIAGE CLUB OF JACKSONVILLE, INC.

Doing business as

Carriage Club of Jacksonville

Practice address

9601 Southbrook Dr
Jacksonville, FL 32256-0601

Phone

(904) 641-7501

Fax

(904) 646-4055

NPI assigned

Nov 17, 2010

Last updated

Nov 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Ohlendorf

Title

Co-President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Carriage Club of Jacksonville Doing business as

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1255633681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST",
            "address_2": "SUITE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 SOUTHBROOK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560601",
            "telephone_number": "904-641-7501",
            "fax_number": "904-646-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC CARRIAGE CLUB OF JACKSONVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carriage Club of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlos Antonio Arango, M.D.
• Elsa Arango
• Shachie V Aranke, MD
• Isil Aras
• Arastoo T Nabizadeh MD PA
• Arc Medical Transit LLC
• Arc Professional Services LLC
• Giselle Marie Arcaute
• Alex M Arce, D.O.
• Carlos Alberto Arce, MD

• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.