Active NPI
Pic Homes, Inc.
- Adult Care Home Facility
- Jacksonville, FL
National Provider Identifier
1306695754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- PIC HOMES, INC.
- Practice address
- 2161 College Cir S
Jacksonville, FL 32209-5977 - Phone
- (904) 226-1817
- NPI assigned
- May 17, 2024
- 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
- Brian Pinckney
- Title
- Director
- Phone
- (904) 226-1817
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
2161 College Cir S
Jacksonville, FL 32209-5977
Mailing address
2161 College Cir S
Jacksonville, FL 32209-5977
Phone (904) 226-1817
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Jacksonville, FL
- NPI 1700535978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715904000000",
"number": "1306695754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2161 COLLEGE CIR S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322095977",
"telephone_number": "904-226-1817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2161 COLLEGE CIR S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322095977",
"telephone_number": "904-226-1817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIC HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-17",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A",
"authorized_official_last_name": "PINCKNEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "904-226-1817"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"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 May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.