Organization Active NPI

J & J Franchise Inc.

Doing business as Amada Senior Care Clearwater

  • Home Health Agency
  • Clearwater, FL
National Provider Identifier
1467009969
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
J & J FRANCHISE INC.
Doing business as
Amada Senior Care Clearwater
Practice address
2201 NE Coachman Rd Ste 201
Clearwater, FL 33765-2200
Phone
(727) 228-2708
Fax
(727) 228-2997
NPI assigned
Aug 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Joe Medolla
Title
Owner
Phone
(727) 228-2708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2201 NE Coachman Rd Ste 201
Clearwater, FL 33765-2200

Mailing address

2201 NE Coachman Rd Ste 201
Clearwater, FL 33765-2200
Phone (727) 228-2708

Other identifiers 1

IdentifierTypeStateIssuer
299994820OtherFLAHCA LICENSE

Other names 1

  • Amada Senior Care Clearwater Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Clearwater Direct

National Provider Directory

National Provider Directory

Locations

2201 NE Coachman Rd
Ste 201
Clearwater, FL 33765
Phone (727) 228-2708

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1467009969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NE COACHMAN RD STE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652200",
            "telephone_number": "727-228-2708",
            "fax_number": "727-228-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NE COACHMAN RD STE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652200",
            "telephone_number": "727-228-2708",
            "fax_number": "727-228-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J FRANCHISE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "MEDOLLA",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-228-2708"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "299994820",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Clearwater",
            "affiliation": "N",
            "endpointDescription": "Secure Server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2201 NE Coachman Rd Ste 201",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337652200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amada Senior Care Clearwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.