NPIMap

Organization Active NPI

First Choice Adult Daycare and Home Health Ca

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1639448723
Registry record updated Dec 20, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
103413CNA Issued in FL
Legal business name
FIRST CHOICE ADULT DAYCARE AND HOME HEALTH CA
Practice address
5336 Quan Drive
Jacksonville, FL 32205
Phone
(904) 525-2918
NPI assigned
Dec 20, 2011
Organization subpart
Yes
Parent organization
FIRST CHOICEADULT DAYCARE AND HOME HEALTH CARE SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Mrs. Suzette Denise Miley-Pearson, BS, CMA, CNANPI 1235910571
Title
Owner/Manager
Phone
(904) 525-2918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 641306NCMA
Home Health Agency 251E00000X 103413CNA FL Primary

Addresses

Primary practice location

5336 Quan Drive
Jacksonville, FL 32205

Mailing address

5336 Quan Drive
Jacksonville, FL 32205
Phone (904) 525-2918

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1639448723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 QUAN DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32205",
            "telephone_number": "904-525-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 QUAN DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32205",
            "telephone_number": "904-525-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE ADULT DAYCARE AND HOME HEALTH CA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CHOICEADULT DAYCARE AND HOME HEALTH CARE SERVICES, LLC",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "MILEY-PEARSON",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "904-525-2918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, CMA, CNA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": "641306NCMA",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "103413CNA",
            "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 Dec 20, 2011; 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.