Better Care of Jax

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

691047596 Issued in FL

Legal business name

BETTER CARE OF JAX

Practice address

2658 Sandra LN
Jacksonville, FL 32208-2570

Phone

(904) 472-0066

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Laquita Shanelle Buckholtz

Title

Administrator

Phone

(904) 472-0066

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1508917071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 SANDRA LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082570",
            "telephone_number": "904-472-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2658 SANDRA LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082570",
            "telephone_number": "904-472-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER CARE OF JAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "BUCKHOLTZ",
        "authorized_official_first_name": "LAQUITA",
        "authorized_official_middle_name": "SHANELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-472-0066",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": "691047596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691047503",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691047596",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691047598",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Ann Betchkal, MD
• Beth a. Medina, Ms, LMHC, PA
• Blondeva Bethel, PEER SPECIALIST
• Debra Bethune
• Jacklyn Bethune
• Better Days Senior Living LLC
• Better Health Support Services LLC
• Better Hearing Center of Florida, LLC
• Better Life Transport
• Bettercare

• Child Intellectual and/or Developmental Disabilities Respite Care in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.