Organization Active NPI

Concierge Home Services, Inc

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1437513579
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
234179 Issued in FL
Legal business name
CONCIERGE HOME SERVICES, INC
Practice address
4656 Tunis St
Jacksonville, FL 32205-7339
Phone
(904) 662-4853
Fax
(904) 212-0381
NPI assigned
Apr 5, 2016
Last updated
Apr 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Brandon Hillard, B.S.N.NPI 1003466830
Title
Ceo
Phone
(904) 662-4853

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 234179 FL Primary

Addresses

Primary practice location

4656 Tunis St
Jacksonville, FL 32205-7339

Mailing address

4656 Tunis St
Jacksonville, FL 32205-7339
Phone (904) 662-4853

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1437513579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 TUNIS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057339",
            "telephone_number": "904-662-4853",
            "fax_number": "904-212-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4656 TUNIS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057339",
            "telephone_number": "904-662-4853",
            "fax_number": "904-212-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE HOME SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "HILLARD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-662-4853",
        "authorized_official_credential": "B.S.N."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234179",
            "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 Apr 5, 2016; 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.