Active NPI
Jonaldine Eliscard
- Chore Provider
- Ruskin, FL
National Provider Identifier
1275080483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- 6906877
- Practice address
- 934 Meadow Glade Dr
Ruskin, FL 33570-5102 - Phone
- (941) 565-9193
- NPI assigned
- Sep 6, 2016
- Last updated
- Apr 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 6906877 | FL | |
| Chore Provider | 372500000X | 6906877 | FL | Primary |
Addresses
Primary practice location
934 Meadow Glade Dr
Ruskin, FL 33570-5102
Mailing address
934 Meadow Glade Dr
Ruskin, FL 33570-5102
Phone (941) 565-9193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6906877 | FL | MD | Adult Care Home Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kay & Jay 09 LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Assisted Living Facility
- Tampa, FL
- NPI 1851022644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1275080483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 MEADOW GLADE DR",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335705102",
"telephone_number": "941-565-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 MEADOW GLADE DR",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335705102",
"telephone_number": "941-565-9193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELISCARD",
"first_name": "JONALDINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "6906877",
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "FL",
"license": "6906877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruskin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.