Active NPI
Elzila Home
- Case Manager/Care Coordinator
- Jacksonville, FL
National Provider Identifier
1639009061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | |||
| Case Manager/Care Coordinator | 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 DirectoryNPI 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.