Organization Active NPI

Elzila Home

  • Case Manager/Care Coordinator
  • Jacksonville, FL
National Provider Identifier
1639009061
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ELZILA HOME
Practice address
2647 Glory TRL
Jacksonville, FL 32210-3588
Phone
(929) 636-8373
NPI assigned
May 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Elmaigne Laguerre
Title
Owner/Ceo
Phone
(929) 636-8373

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

2647 Glory TRL
Jacksonville, FL 32210-3588

Mailing address

2647 Glory TRL
Jacksonville, FL 32210-3588
Phone (929) 636-8373

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1639009061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 GLORY TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103588",
            "telephone_number": "929-636-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 GLORY TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103588",
            "telephone_number": "929-636-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELZILA HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "LAGUERRE",
        "authorized_official_first_name": "ELMAIGNE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "929-636-8373"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 19, 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.