Organization Active NPI

Deep Beauty LLC

Doing business as Accessible Home Care Jacksonville

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1619813672
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEEP BEAUTY LLC
Doing business as
Accessible Home Care Jacksonville
Practice address
4131 University Blvd S Ste 10
Jacksonville, FL 32216-4346
Phone
(904) 687-2412
Fax
(904) 683-5095
NPI assigned
Apr 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Dr. Boris O Bergus, MD
Title
Administrator
Phone
(508) 769-2707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4131 University Blvd S Ste 10
Jacksonville, FL 32216-4346

Mailing address

244 Silver Glen Ave
Saint Augustine, FL 32092-2470
Phone (508) 769-2707

Other names 1

  • Accessible Home Care Jacksonville Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1619813672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 SILVER GLEN AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922470",
            "telephone_number": "508-769-2707",
            "fax_number": "904-683-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S STE 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164346",
            "telephone_number": "904-687-2412",
            "fax_number": "904-683-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP BEAUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "BERGUS",
        "authorized_official_first_name": "BORIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-769-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accessible Home Care Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 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.