Organization Active NPI

NE Florida Enterprises, LLC

Doing business as Right at Home

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1285127688
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
299994713 Issued in FL
Legal business name
NE FLORIDA ENTERPRISES, LLC
Doing business as
Right at Home
Practice address
10175 Fortune Pkwy Unit 202
Jacksonville, FL 32256-6748
Phone
(904) 201-3566
NPI assigned
Jun 11, 2018
Last updated
Jun 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Kimberley Schafer
Title
Owner and Operating Principal
Phone
(904) 201-3566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 234803 FL
In Home Supportive Care Agency 253Z00000X 299994713 FL Primary

Addresses

Primary practice location

10175 Fortune Pkwy Unit 202
Jacksonville, FL 32256-6748

Mailing address

101 Marketside Ave # 404-168
Ponte Vedra, FL 32081-1541
Phone (904) 201-3566

Other names 1

  • Right at Home Doing business as

National Provider Directory

National Provider Directory

Locations

10175 Fortune Pkwy
Unit 202
Jacksonville, FL 32256
Phone (904) 201-3566

101 Marketside Ave
Ponte Vedra, FL 32081

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1285127688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARKETSIDE AVE # 404-168",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811541",
            "telephone_number": "904-201-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566748",
            "telephone_number": "904-201-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NE FLORIDA ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "OWNER AND OPERATING PRINCIPAL",
        "authorized_official_telephone_number": "904-201-3566"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234803",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "299994713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.