Amirah Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AMIRAH HEALTHCARE LLC

Practice address

13475 Atlantic Blvd Ste 8
Jacksonville, FL 32225-3290

Phone

(904) 319-5501

NPI assigned

Nov 3, 2022

Organization subpart

No

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

Authorized official

Name

Juantavis Hudson

Title

Ceo

Phone

(904) 319-5501

Specialties & licenses 5

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1497462873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13475 ATLANTIC BLVD STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253290",
            "telephone_number": "904-319-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13475 ATLANTIC BLVD STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253290",
            "telephone_number": "904-319-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIRAH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JUANTAVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-319-5501"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER",
            "identifier": "HOMECARE",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPANION",
            "identifier": "HOMECARE",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOMECARE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikolas Parham Amini, DDS
• Sahar Aminmadani, RBT
• Amir H. Fatemi, M.D., Ip.L
• Amir H. Fatemi, M.D., LLC
• Amir Wind MD PA
• Amit Chokshi MD PA
• Amit Chokshi MD PA
• Amit Chokshi MD PA
• Amit Vijapura MD PA
• Venkata Raghava Ammanabrolu

• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.