NPIMap

Organization Active NPI

Volunteers of America of Florida, Inc

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1457927147
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VOLUNTEERS OF AMERICA OF FLORIDA, INC
Practice address
716 Ray Charles PL
Jacksonville, FL 32202-4800
Phone
(904) 239-5775
NPI assigned
Jun 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Randall Mark Burgan
Title
Chief Operating Officer
Phone
(727) 498-4807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

716 Ray Charles PL
Jacksonville, FL 32202-4800

Mailing address

405 Central Ave Ste 100
St Petersburg, FL 33701-3866
Phone (727) 498-4807

Other identifiers 1

IdentifierTypeStateIssuer
100740100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America of Florida Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1457927147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CENTRAL AVE STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013866",
            "telephone_number": "727-498-4807",
            "fax_number": "727-823-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 RAY CHARLES PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024800",
            "telephone_number": "904-239-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "BURGAN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "727-498-4807"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100740100",
            "state": "FL"
        }
    ],
    "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 Jan 9, 2025; 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.