Active NPI
Oak and Ivy Home Care
- Home Health Agency
- Jacksonville, FL
National Provider Identifier
1417749482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OAK AND IVY HOME CARE
- Practice address
- 193 Bradford Lake Cir
Jacksonville, FL 32218-0103 - Phone
- (904) 697-8553
- NPI assigned
- May 19, 2025
- 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
- Mr. Anthony Eugene Fisher, RN,MSN
- Title
- Managing Member
- Phone
- (904) 697-8553
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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
193 Bradford Lake Cir
Jacksonville, FL 32218-0103
Mailing address
193 Bradford Lake Cir
Jacksonville, FL 32218-0103
Phone (904) 697-8553
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Jacksonville, FL
- NPI 1669939286
-
- Licensed Practical Nurse
- Jacksonville, FL
- NPI 1386101996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1417749482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 BRADFORD LAKE CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322180103",
"telephone_number": "904-697-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 BRADFORD LAKE CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322180103",
"telephone_number": "904-697-8553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK AND IVY HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "904-697-8553",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN,MSN"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Lillie Emmelhainz O'Steen, M.D.
- Waldena Rose O'Sulliva, MAMFT
- Nuala Anne O'Sullivan, ARNP
- Sina O'Sullivan, MD
- Kyle Edward O'Toole, LAT, ATC
- Oak Hill Family Care Center Inc.
- Oakleaf Chiropractic and Injury Center Inc
- Oakleaf Chiropractic Inc
- Oakleaf Family Chiropractic
- Oakleaf Injury and Pain Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.