Organization Active NPI

Zorita Koenig Home Care

  • In Home Supportive Care Agency
  • Jackosnville, FL
National Provider Identifier
1447696042
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ZORITA KOENIG HOME CARE
Practice address
12528 Belmont Lakes Drive
Jackosnville, FL 32225
Phone
(904) 379-1146
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Mrs. Zorita Koenig
Title
Owner
Phone
(904) 379-1146

Specialties & licenses 1

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

Addresses

Primary practice location

12528 Belmont Lakes Drive
Jackosnville, FL 32225

Mailing address

12528 Belmont Lakes Dr
Jacksonville, FL 32225-5968
Phone (904) 379-1146

Other identifiers 1

IdentifierTypeStateIssuer
688521700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Zorita Koenig Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1447696042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12528 BELMONT LAKES DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255968",
            "telephone_number": "904-379-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12528 BELMONT LAKES DRIVE",
            "city": "JACKOSNVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-379-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZORITA KOENIG HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "ZORITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-379-1146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688521700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.