Home Sweet Accessible Home, Inc.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

CRC-057575 Issued in FL

Legal business name

HOME SWEET ACCESSIBLE HOME, INC.

Practice address

7800 Point Meadows Dr
Unit #111
Jacksonville, FL 32256-4606

Phone

(904) 342-6844

Fax

(904) 830-4419

NPI assigned

Nov 4, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Scott Gordon Ross, CAPS

Title

President

Phone

(904) 342-6844

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1487027181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 POINT MEADOWS DR",
            "address_2": "UNIT #111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564606",
            "telephone_number": "904-342-6844",
            "fax_number": "904-830-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 POINT MEADOWS DR",
            "address_2": "UNIT #111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564606",
            "telephone_number": "904-342-6844",
            "fax_number": "904-830-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET ACCESSIBLE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-342-6844",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAPS"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": "CRC-057575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011064200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.