Ardnas Health Care Services of Jacksonville

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992515 Issued in FL

Legal business name

ARDNAS HEALTH CARE SERVICES OF JACKSONVILLE

Practice address

2105 Park Ave
Suite 25
Orange Park, FL 32073-5583

Phone

(904) 278-5462

Fax

(904) 215-1462

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Sandra Moody, REGISTERED NURSE

Title

Ceo

Phone

(904) 278-5462

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ankod Health Care Services of Jacksonville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ardnas Health Care Services of Jacksonville

  • Home Health Agency
  • Orange Park, FL
  • NPI 1649632811
  NPD tax ID

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1568659282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 PARK AVE",
            "address_2": "SUITE 25",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735583",
            "telephone_number": "904-278-5462",
            "fax_number": "904-215-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 PARK AVE",
            "address_2": "SUITE 25",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735583",
            "telephone_number": "904-278-5462",
            "fax_number": "904-215-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDNAS HEALTH CARE SERVICES OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-278-5462",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006168600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ara-Orange Park LLC (Northeast Florida Dialysis Center)
• Alberto Cardoso Araujo
• Gregory A Archambault, DMD
• Dennis Alfred Archer, RRT
• Maria Del Carmen Archuleta Pintor, PA-C
• Ardnas Health Care Services of Jacksonville
• Miguel A Arias, DMD
• Gala Aristild, OTR
• Sally Macdonald Armistead, FNP
• Angela Yvette Armstrong, ARNP

• Home Health Agency in Orange Park, FL
• Providers in Orange Park, 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 Jul 7, 2016; 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.