Village Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VILLAGE HOME HEALTHCARE LLC

Practice address

8343 Princeton Square Blvd E Apt 510
Jacksonville, FL 32256-8368

Phone

(904) 330-7616

NPI assigned

May 11, 2020

Last updated

May 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tahitia Elliott, MD

Title

Ceo/Founder

Phone

(904) 330-7616

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1619599842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8343 PRINCETON SQUARE BLVD E APT 510",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8343 PRINCETON SQUARE BLVD E APT 510",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568368",
            "telephone_number": "904-330-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "TAHITIA",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "904-330-7616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Villacare LLC
• Diego Ernesto Villacreses, M.D.
• Alejandro Villada
• Denisse Villafruela Mesa
• Village Aura International Inc
• Michael Daniel Villalba, DO
• Martha Patricia Villalobos, DDS
• Gustavo Adolfo Villalona, MD
• Santiago Villamil, MPT
• Judd Villamor, PT, DPT

• 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 May 11, 2020; 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.