Jax Patient Care

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

248861 Issued in FL

Legal business name

JAX PATIENT CARE

Doing business as

JaxCare

Practice address

100 Wharfside Way # a
Jacksonville, FL 32207-8104

Phone

(904) 309-9902

Fax

(904) 701-6236

NPI assigned

Jan 20, 2015

Last updated

Apr 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ken Elias

Title

VP/Owner

Phone

(904) 309-9902

Specialties & licenses 3

Addresses

Other names 2

• JaxCare Doing business as
• JaxCare Patient Transport Other name

Electronic endpoints 2

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1477942050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 RIVERPLACE BLVD APT 1404",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079101",
            "telephone_number": "404-664-7216",
            "fax_number": "904-701-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHARFSIDE WAY # A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078104",
            "telephone_number": "904-309-9902",
            "fax_number": "904-701-6236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Riverplace Blvd",
            "address_2": "#1110",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322079069",
            "country_code": "US",
            "telephone_number": "404-664-7216",
            "fax_number": "904-701-6236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAX PATIENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "VP/OWNER",
        "authorized_official_telephone_number": "904-309-9902"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "248861",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "248861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.jaxcare.com",
            "affiliation": "N",
            "endpointDescription": "Reservation Portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Reservation Request",
            "address_1": "100 Wharfside Way # A",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322078104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jaxcare.com",
            "affiliation": "N",
            "endpointDescription": "Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Wharfside Way # A",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322078104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JaxCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JaxCare Patient Transport",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jax Surgical Assist LLC
• Jax Vision Care, PA

• Non-emergency Medical Transport (VAN) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.