SHC Home Health Services - Jacksonville, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SHC HOME HEALTH SERVICES - JACKSONVILLE, LLC

Doing business as

Signature HomeNow

Practice address

1275 W Granada Blvd
Suite 6B
Ormond Beach, FL 32174-8259

Phone

(386) 265-1925

Fax

(386) 265-1926

NPI assigned

Oct 25, 2013

Organization subpart

No

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

Authorized official

Name

John Harrison

Title

Cfo

Phone

(502) 568-7800

Specialties & licenses 1

Addresses

Other names 1

• Signature HomeNow Doing business as

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1457789695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD",
            "address_2": "SUITE 6B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748259",
            "telephone_number": "386-265-1925",
            "fax_number": "386-265-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD",
            "address_2": "SUITE 6B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748259",
            "telephone_number": "386-265-1925",
            "fax_number": "386-265-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHC HOME HEALTH SERVICES - JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HomeNow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.