Organization Active NPI

Dueseason1

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1346733185
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DUESEASON1
Practice address
4058 Saint Augustine Rd
Jacksonville, FL 32207
Phone
(904) 504-8855
NPI assigned
Jun 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Tonya Hall
Title
Member
Phone
(904) 504-8855

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

4058 Saint Augustine Rd
Jacksonville, FL 32207

Mailing address

731 Duval Station Rd Ste 107
Jacksonville, FL 32218-0801
Phone (904) 504-8855

Other practice location 1

731 DuVal Station Rd Ste 107-406
Jacksonville, FL 32218-0800
Phone (904) 504-8855

National Provider Directory

National Provider Directory

Locations

4058 Saint Augustine Rd
Jacksonville, FL 32207
Phone (904) 504-8855

731 Duval Station Rd
Ste 107406
Jacksonville, FL 32218
Phone (904) 504-8855

731 Duval Station Rd
Ste 107
Jacksonville, FL 32218

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1346733185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 DUVAL STATION RD STE 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322180801",
            "telephone_number": "904-504-8855",
            "fax_number": "904-683-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4058 SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-504-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 DuVal Station Rd Ste 107-406",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322180800",
            "country_code": "US",
            "telephone_number": "904-504-8855",
            "fax_number": "904-683-9670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUESEASON1",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "904-504-8855"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 13, 2018; 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.