Active NPI
NE Florida Enterprises, LLC
Doing business as Right at Home
- In Home Supportive Care Agency
- Jacksonville, FL
National Provider Identifier
1285127688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 299994713
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.