Caretenders of Jacksonville LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CARETENDERS OF JACKSONVILLE LLC

Practice address

1101 Plantation Island Dr S
St Augustine, FL 32080-6191

Phone

(904) 815-8157

Fax

(904) 446-1347

NPI assigned

Sep 18, 2008

Organization subpart

No

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

Authorized official

Name

Joshua L Proffitt

Title

President

Phone

(337) 233-1307

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Apex Health and Rehab Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 686855

Legal name

APEX HEALTH AND REHAB CENTER

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jul 11, 2006

Last certification

Aug 28, 2019

Ownership / control type

Proprietary

Facility address

1101 Plantation Island Dr S
Saint Augustine, FL 32080

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Caretenders of Jacksonville, LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1376714485

  3476654260

  Same PAC ID

Tax ID family

Caretenders of Jacksonville LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Caretenders of Jacksonville, LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1376714485
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Caretenders of Jacksonville, LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1376714485
  NPPES parent name
• Caretenders of Jacksonville, LLC

  • Home Health Agency
  • Orange Park, FL
  • NPI 1902979164
  NPPES parent name

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1376792937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PLANTATION ISLAND DR S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806191",
            "telephone_number": "904-815-8157",
            "fax_number": "904-446-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARETENDERS OF JACKSONVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REHAB AGENCY",
            "identifier": "686855",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Health and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.