Organization Active NPI

Atkinson's Home Health Care, Inc.

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1427276153
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
201550952 Issued in FL
Legal business name
ATKINSON'S HOME HEALTH CARE, INC.
Practice address
4110 Southpoint Blvd.
Ste. 110
Jacksonville, FL 32216
Phone
(904) 269-8050
Fax
(904) 269-7378
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Mr. William John Muyres, PRESIDENT/CEO
Title
Ceo
Phone
(904) 269-8050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 201550952 FL Primary

Addresses

Primary practice location

4110 Southpoint Blvd.
Ste. 110
Jacksonville, FL 32216

Mailing address

4110 Southpoint Blvd.
Ste. 110
Jacksonville, FL 32216
Phone (904) 269-8050

Other identifiers 6

IdentifierTypeStateIssuer
027005900MedicaidFL
163507OtherFLHEALTHEASE
080452596MedicaidFL
R3463OtherFLBCBS DME
J3MOtherFLBCBS HOME HEALTH
027005901MedicaidFL

National Provider Directory

National Provider Directory

Locations

4110 Southpoint Blvd
Ste 110
Jacksonville, FL 32216
Phone (904) 269-8050

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1427276153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SOUTHPOINT BLVD.",
            "address_2": "STE. 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-269-8050",
            "fax_number": "904-269-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 SOUTHPOINT BLVD.",
            "address_2": "STE. 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-269-8050",
            "fax_number": "904-269-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATKINSON'S HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "MUYRES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-269-8050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT/CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "201550952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027005900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "163507",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080452596",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME",
            "identifier": "R3463",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HOME HEALTH",
            "identifier": "J3M",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027005901",
            "state": "FL"
        }
    ],
    "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 9, 2015; 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.