Aging at Home LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

AGING AT HOME LLC

Practice address

1858 Forest Hills Rd
Jacksonville, FL 32208-2535

Phone

(205) 517-0505

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Lapatra Fisher, CNANPI 1124647672

Title

Owner

Phone

(205) 517-0505

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lapatra Fisher, CNA

  • Nurse's Aide
  • Jacksonville, FL
  • NPI 1124647672
  NPD Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1295334191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 FOREST HILLS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 FOREST HILLS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082535",
            "telephone_number": "205-517-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LAPATRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-517-0505",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Concepcion Latoza Agnila, M.D.

• All providers in Jacksonville, FL
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.