Active NPI
West Central Citadel LLC
- Non-emergency Medical Transport (VAN)
- Jacksonville, FL
National Provider Identifier
1548099336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- WEST CENTRAL CITADEL LLC
- Practice address
- 10757 Hawaii Dr S
Jacksonville, FL 32246-8834 - Phone
- (904) 994-5106
- NPI assigned
- Jul 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ismael Esa
- Title
- President
- Phone
- (904) 994-5106
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
10757 Hawaii Dr S
Jacksonville, FL 32246-8834
Mailing address
10757 Hawaii Dr S
Jacksonville, FL 32246-8834
Phone (904) 994-5106
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1548099336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10757 HAWAII DR S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322468834",
"telephone_number": "904-994-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10757 HAWAII DR S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322468834",
"telephone_number": "904-994-5106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST CENTRAL CITADEL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"status": "A",
"authorized_official_last_name": "ESA",
"authorized_official_first_name": "ISMAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-994-5106"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.