Organization Active NPI

Neuro Care Inc.

  • Medical Specialty Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1548690258
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NEURO CARE INC.
Practice address
8130 Baymeadows Cir
Suite #109
Jacksonville, FL 32256-1880
Phone
(904) 281-1066
Fax
(904) 281-1060
NPI assigned
Nov 15, 2013
Last updated
Oct 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Philip Staats
Title
Director
Phone
(904) 281-1066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X FL Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X FL

Addresses

Primary practice location

8130 Baymeadows Cir
Suite #109
Jacksonville, FL 32256-1880

Mailing address

9838 Old Baymeadows Rd
Suite 386
Jacksonville, FL 32256-8101
Phone (904) 281-1066

National Provider Directory

National Provider Directory
Tax ID family
Neurocare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8130 Baymeadows Cir W
Ste 109
Jacksonville, FL 32256
Phone (844) 808-9096

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1548690258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9838 OLD BAYMEADOWS RD",
            "address_2": "SUITE 386",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568101",
            "telephone_number": "904-281-1066",
            "fax_number": "904-281-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 BAYMEADOWS CIR",
            "address_2": "SUITE #109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561880",
            "telephone_number": "904-281-1066",
            "fax_number": "904-281-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "STAATS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-281-1066"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 2, 2014; 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.