Ellis-Moore Corporation

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

ELLIS-MOORE CORPORATION

Doing business as

JumpStart Pediatrics

Practice address

7207 Golden Wings Rd Ste 300
Jacksonville, FL 32244-3324

Phone

(904) 710-0437

Fax

(904) 475-2706

NPI assigned

Jan 8, 2025

Last updated

Jan 8, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

ELLIS-MOORE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mrs. Joni Hughes, RN, BSN, CCRN

Title

Administrator/Owner

Phone

(904) 710-0437

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JumpStart Pediatrics Doing business as

Part of

Ellis-Moore Corporation

Locations

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1336959840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S STE 125",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164375",
            "telephone_number": "904-710-0437",
            "fax_number": "904-475-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 GOLDEN WINGS RD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322443324",
            "telephone_number": "904-710-0437",
            "fax_number": "904-475-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS-MOORE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLIS-MOORE CORPORATION",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "904-710-0437",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, CCRN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019233500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JumpStart Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Rudolph Elliott, RPH
• Ellis Pediatrics, PLLC
• Joni A. Ellis-Hughes, RN, BSN, CCRN, CRNI
• Ellis-Moore Coroporation (JumpStart Pediatrics)
• Ellis-Moore Coroporation (JumpStart Pediatrics)
• Bela Ellis
• Brady Ellis, PHARMD
• Brittany Ellis, LMHC
• Demetric Gazzara Ellis
• Josette Benita Ellis

• Pediatric Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.