Organization Active NPI

Amore Quality Service

  • Respite Care Camp
  • Jacksonville, FL
National Provider Identifier
1326347675
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite Care CampTaxonomy code 385HR2050X
License
692298896 Issued in FL
Legal business name
AMORE QUALITY SERVICE
Practice address
7868 Denham Rd E
Jacksonville, FL 32208-3007
Phone
(904) 766-1570
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Geraldine Jackson
Title
Medicaid Waiver Provider
Phone
(904) 766-1570

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 692298896 FL
Respite Care Camp 385HR2050X 692298896 FL Primary

Addresses

Primary practice location

7868 Denham Rd E
Jacksonville, FL 32208-3007

Mailing address

7868 Denham Rd E
Jacksonville, FL 32208-3007
Phone (904) 766-1570

Other identifiers 2

IdentifierTypeStateIssuer
253Z00000XMedicaidFL
385H00000XMedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1326347675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7868 DENHAM RD E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083007",
            "telephone_number": "904-766-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7868 DENHAM RD E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083007",
            "telephone_number": "904-766-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMORE QUALITY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "MEDICAID  WAIVER PROVIDER",
        "authorized_official_telephone_number": "904-766-1570"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "692298896",
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "FL",
            "license": "692298896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253Z00000X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385H00000X",
            "state": "FL"
        }
    ],
    "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 24, 2011; 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.