Organization Active NPI

Acare Medical LLC

Doing business as ACare Medical

  • Health Service Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1497486732
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ACARE MEDICAL LLC
Doing business as
ACare Medical
Practice address
12220 Atlantic Blvd Ste 130
Jacksonville, FL 32225-5826
Phone
(904) 753-7566
NPI assigned
Jun 17, 2022
Last updated
Jul 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Amaris Monique Nelson
Title
Owner
Phone
(904) 753-7566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

12220 Atlantic Blvd Ste 130
Jacksonville, FL 32225-5826

Mailing address

9568 Stratham CT
Jacksonville, FL 32244-7172
Phone (904) 753-7566

Other names 1

  • ACare Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1497486732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9568 STRATHAM CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447172",
            "telephone_number": "904-753-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 ATLANTIC BLVD STE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255826",
            "telephone_number": "904-753-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACARE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "AMARIS",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-753-7566"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACare Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 8, 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.