Greaterjaxhomehealthservicesllc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREATERJAXHOMEHEALTHSERVICESLLC

Practice address

7749 Normandy Blvd # 145-338
Jacksonville, FL 32221-7657

Phone

(904) 647-5063

Fax

(904) 647-6134

NPI assigned

Aug 6, 2011

Organization subpart

No

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

Authorized official

Name

Edna Watkins

Title

Managing Member

Phone

(904) 647-5063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312588800000",
    "number": "1528347630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7749 NORMANDY BLVD # 145-338",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322217657",
            "telephone_number": "904-647-5063",
            "fax_number": "904-647-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7749 NORMANDY BLVD # 145-338",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322217657",
            "telephone_number": "904-647-5063",
            "fax_number": "904-647-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATERJAXHOMEHEALTHSERVICESLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-06",
        "last_updated": "2011-08-06",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-647-5063"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Greater Impressions Care Services,LLC
• Greater Purpose Missions Inc
• Greater Purpose Senior Care LLC
• Ashley Annette Greathouse, ARNP-C
• Greatstridesrehabilitation
• Peggy Greco, PHD
• Susan Neims Greco, M.D., M.P.H.
• Michaleen Annette Grecula, MD

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.