NPIMap

Organization Active NPI

Advanced Homecare, Inc.

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1295905412
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADVANCED HOMECARE, INC.
Practice address
6816 Southpoint Pkwy
Unit 600
Jacksonville, FL 32216-1700
Phone
(904) 470-5000
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Mr. Reid Allen Gray
Title
Ceo
Phone
(904) 343-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6816 Southpoint Pkwy
Unit 600
Jacksonville, FL 32216-1700

Mailing address

6816 Southpoint Pkwy
Unit 600
Jacksonville, FL 32216-1700
Phone (904) 470-5000

National Provider Directory

National Provider Directory

Locations

6816 Southpoint Pkwy
Ste 600
Jacksonville, FL 32216
Phone (904) 470-5000

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1295905412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6816 SOUTHPOINT PKWY",
            "address_2": "UNIT 600",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161700",
            "telephone_number": "904-470-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 SOUTHPOINT PKWY",
            "address_2": "UNIT 600",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161700",
            "telephone_number": "904-470-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "REID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-343-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Mar 4, 2008; 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.