Active NPI
Atkinson's Home Health Care, Inc.
- Home Health Agency
- Jacksonville, FL
National Provider Identifier
1427276153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 201550952
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027005900 | Medicaid | FL | |
| 163507 | Other | FL | HEALTHEASE |
| 080452596 | Medicaid | FL | |
| R3463 | Other | FL | BCBS DME |
| J3M | Other | FL | BCBS HOME HEALTH |
| 027005901 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.