Active NPI
Home Sweet Home at Hogan Lane
- Assisted Living Facility
- Jacksonville, FL
National Provider Identifier
1407291503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 10443
- Legal business name
- HOME SWEET HOME AT HOGAN LANE
- Practice address
- 1307 Hogan LN
Jacksonville, FL 32221-6616 - Phone
- (904) 783-6473
- Fax
- (904) 783-6473
- NPI assigned
- May 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Thomas Rose
- Title
- Owner/Administrator
- Phone
- (904) 874-8182
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 10443 | FL | Primary |
Addresses
Primary practice location
1307 Hogan LN
Jacksonville, FL 32221-6616
Mailing address
1307 Hogan LN
Jacksonville, FL 32221-6616
Phone (904) 783-6473
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367452800000",
"number": "1407291503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 HOGAN LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322216616",
"telephone_number": "904-783-6473",
"fax_number": "904-783-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 HOGAN LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322216616",
"telephone_number": "904-783-6473",
"fax_number": "904-783-6473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME SWEET HOME AT HOGAN LANE",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-02",
"last_updated": "2013-05-02",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "904-874-8182"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "10443",
"primary": true
}
],
"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 May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.