Organization Active NPI

Hab & Associate Alternative Solutions LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1649579830
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HAB & ASSOCIATE ALTERNATIVE SOLUTIONS LLC
Practice address
8930 Sibbald Rd
Jacksonville, FL 32208-1662
Phone
(904) 309-3650
NPI assigned
Mar 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Ms. Veronica Richardson Ward
Title
Manager
Phone
(904) 309-3650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X FL Primary

Addresses

Primary practice location

8930 Sibbald Rd
Jacksonville, FL 32208-1662

Mailing address

8930 Sibbald Rd
Jacksonville, FL 32208-1662
Phone (904) 309-3650

Other identifiers 2

IdentifierTypeStateIssuer
682842698MedicaidFL
682842696MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1649579830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 SIBBALD RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081662",
            "telephone_number": "904-309-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 SIBBALD RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081662",
            "telephone_number": "904-309-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAB & ASSOCIATE ALTERNATIVE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "RICHARDSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-309-3650",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682842698",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682842696",
            "state": "FL"
        }
    ],
    "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 Mar 28, 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.