Organization Active NPI

Boston & Boston Enterprise Home Care

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1285178707
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BOSTON & BOSTON ENTERPRISE HOME CARE
Practice address
713 Duval Station Rd
Ste 107255
Jacksonville, FL 32218
Phone
(845) 323-3725
NPI assigned
Dec 19, 2016
Organization subpart
Yes
Parent organization
BOSTON & BOSTON ENTERPRISE, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Brenda Boston Hudson, RN
Title
Administrator
Phone
(845) 323-3725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

713 Duval Station Rd
Ste 107255
Jacksonville, FL 32218

Mailing address

713 Duval Station Rd
Ste 107255
Jacksonville, FL 32218
Phone (845) 323-3725

National Provider Directory

National Provider Directory
Part of
Boston Boston Enterprise Home Care

Locations

713 Duval Sta Rd
Ste 107255
Jacksonville, FL 32218
Phone (845) 323-3725

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1285178707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 DUVAL STATION RD",
            "address_2": "STE 107255",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32218",
            "telephone_number": "845-323-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 DUVAL STATION RD",
            "address_2": "STE 107255",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32218",
            "telephone_number": "845-323-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON & BOSTON ENTERPRISE HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOSTON & BOSTON ENTERPRISE, LLC.",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "BOSTON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-323-3725",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 19, 2016; 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.