Carelink Medical Transport and Companionship

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CARELINK MEDICAL TRANSPORT AND COMPANIONSHIP

Practice address

11852 Cherry Bark Dr W
Jacksonville, FL 32218-5088

Phone

(904) 684-5519

NPI assigned

Jan 17, 2025

Organization subpart

No

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

Authorized official

Name

Kewanna Poole

Title

Owner

Phone

(904) 684-5519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1326859372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11852 CHERRY BARK DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185088",
            "telephone_number": "904-684-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11852 CHERRY BARK DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185088",
            "telephone_number": "904-684-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINK MEDICAL TRANSPORT AND COMPANIONSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "KEWANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-684-5519"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.