Hampton's Luxury Villas Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AL#12086 Issued in FL

Legal business name

HAMPTON'S LUXURY VILLAS INC

Practice address

10695 Hampton Rd
Jacksonville, FL 32257-6905

Phone

(904) 232-8575

Fax

(904) 328-3850

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Hennie Carias Witherup

Title

President/Ceo

Phone

(904) 536-3091

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1275891178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10695 HAMPTON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576905",
            "telephone_number": "904-232-8575",
            "fax_number": "904-328-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10695 HAMPTON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576905",
            "telephone_number": "904-232-8575",
            "fax_number": "904-328-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON'S LUXURY VILLAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "WITHERUP",
        "authorized_official_first_name": "HENNIE",
        "authorized_official_middle_name": "CARIAS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "904-536-3091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "AL#12086",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "AL#12086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004569900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arti Bhakta Hammonds, CRDH
• Hampton Pediatrics PA
• Adrienne Boyd Hampton, ARNP
• Sarah Jessica Hampton
• Taniko Hampton
• Sydney Hamrick
• Kristy Hamze, RBT
• John Kyaw Han, M.D.
• Hana Care Inc (Hana Care Rehab)
• Hana Care Inc. (Hana Care Rehab)

• Health Service Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.