Organization Active NPI

Granny Nannies

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1457626863
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211078 Issued in FL
Legal business name
GRANNY NANNIES
Practice address
9471 Baymeadows Rd
Suite 403
Jacksonville, FL 32256-7932
Phone
(904) 731-2100
Fax
(904) 731-2177
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Mr. Jerry Lambert
Title
Adminstrator
Phone
(904) 731-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211078 FL Primary

Addresses

Primary practice location

9471 Baymeadows Rd
Suite 403
Jacksonville, FL 32256-7932

Mailing address

9471 Baymeadows Road
Suite 403
Jacksonville, FL 32256-7937
Phone (904) 731-2100

National Provider Directory

National Provider Directory

Locations

9471 Baymeadows Rd
Ste 403
Jacksonville, FL 32256
Phone (904) 731-2100

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1457626863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9471 BAYMEADOWS ROAD",
            "address_2": "SUITE 403",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567937",
            "telephone_number": "904-731-2100",
            "fax_number": "904-731-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9471 BAYMEADOWS RD",
            "address_2": "SUITE 403",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567932",
            "telephone_number": "904-731-2100",
            "fax_number": "904-731-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANNY NANNIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "904-731-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211078",
            "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 Mar 19, 2012; 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.