Active NPI
Granny Nannies
- Home Health Agency
- Jacksonville, FL
National Provider Identifier
1457626863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 30211078
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.