Organization Active NPI

Goldsmith's Healthcare LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1376141085
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDSMITH'S HEALTHCARE LLC
Practice address
6088 Davon St
Jacksonville, FL 32244-3178
Phone
(754) 242-1551
NPI assigned
Oct 14, 2020
Last updated
Oct 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Kedisha Mauraine Goldsmith, CNANPI 1689292526
Title
Director
Phone
(175) 424-2155

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6088 Davon St
Jacksonville, FL 32244-3178

Mailing address

6088 Davon St
Jacksonville, FL 32244-3178
Phone (754) 242-1551

Other names 1

  • Goldsmith's Healthcare LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1376141085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6088 DAVON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322443178",
            "telephone_number": "754-242-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6088 DAVON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322443178",
            "telephone_number": "754-242-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSMITH'S HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "KEDISHA",
        "authorized_official_middle_name": "MAURAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "175-424-2155",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goldsmith's Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 14, 2020; 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.