Active NPI
Florida First Care D-4, Inc.
- Home Health Agency
- Orange Park, FL
National Provider Identifier
1285644245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FLORIDA FIRST CARE D-4, INC.
- Practice address
- 2233 Park Ave
Suite 200
Orange Park, FL 32073-5570 - Phone
- (904) 269-6868
- Fax
- (904) 269-9898
- NPI assigned
- Aug 9, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. Charles William Engelbrecht
- Title
- President
- Phone
- (904) 537-8359
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | FL | Primary |
Addresses
Primary practice location
2233 Park Ave
Suite 200
Orange Park, FL 32073-5570
Mailing address
2233 Park Ave
Suite 200
Orange Park, FL 32073-5570
Phone (904) 269-6868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N283858 | Other | FL | HEALTH EASE |
National Provider Directory
National Provider Directory- Tax ID family
- Florida First Care D-4 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Orange Park, FL
- NPI 1730118951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285644245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 PARK AVE",
"address_2": "SUITE 200",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735570",
"telephone_number": "904-269-6868",
"fax_number": "904-269-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 PARK AVE",
"address_2": "SUITE 200",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735570",
"telephone_number": "904-269-6868",
"fax_number": "904-269-9898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA FIRST CARE D-4, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ENGELBRECHT",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-537-8359",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH EASE",
"identifier": "N283858",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
- Tiffany Reshae Florence, ARNP
- Florida Autism Center
- Florida Autism Center
- Florida Autism Consultants and Educational Services
- Florida Em-I Medical Services, PA
- Florida First Care D4 Inc
- Florida First Care, Inc.
- Florida Heart Center PA
- Florida Infectious Disease Associates PA (Nephrology Associates of Northeast Florida)
- Florida Institute of Pain Medicine LLC (Florida Pain Physicians)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.