Bold Healthcare PLLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BOLD HEALTHCARE PLLC

Practice address

2802 Parental Home Rd
Jacksonville, FL 32216-5702

Phone

(904) 881-4520

NPI assigned

Aug 10, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Yacob Habboush, MDNPI 1750842142

Title

Owner

Phone

(904) 881-4520

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yacob Yousif Habboush, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1750842142
  NPD (past) Authorized official

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1588588602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7857 RITTENHOUSE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563631",
            "telephone_number": "904-881-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 PARENTAL HOME RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165702",
            "telephone_number": "904-881-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "HABBOUSH",
        "authorized_official_first_name": "YACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-881-4520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bold City Chiropractic LLC
• Bold City Doula Coalition
• Bold City Integrative Care
• Bold City Orthotics and Prosthetics, LLC
• Bold City Therapy and Wellness LLC
• Tiffany Bolden
• Irina Eugenievna Boldt, M.D.
• Paul R Boldt, D.M.D.
• Lucy Bolerjack, DO
• Kathryn Susanne Boles, D.O.

• Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.