Active NPI
Ardnas Health Care Services of Jacksonville
- Home Health Agency
- Orange Park, FL
National Provider Identifier
1649632811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299992515
- Legal business name
- ARDNAS HEALTH CARE SERVICES OF JACKSONVILLE
- Practice address
- 2105 Park Ave Ste 25
Orange Park, FL 32073-5557 - Phone
- (904) 278-5462
- Fax
- (904) 215-1462
- NPI assigned
- Mar 25, 2016
- 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
- Miss Kadian K Moody
- Title
- Administrator
- Phone
- (904) 278-5462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299992515 | FL | Primary |
Addresses
Primary practice location
2105 Park Ave Ste 25
Orange Park, FL 32073-5557
Mailing address
2105 Park Ave Ste 25
Orange Park, FL 32073-5557
Phone (904) 278-5462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006168600 | Medicaid | FL |
Other names 1
- Ankod Health Care Services of Jacksonville
National Provider Directory
National Provider Directory- Tax ID family
- Ankod Health Care Services of Jacksonville
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Orange Park, FL
- NPI 1568659282
Locations
2105 Park Ave
Ste 25
Orange Park, FL 32073
Phone (904) 278-5462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458864000000",
"number": "1649632811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 PARK AVE STE 25",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735557",
"telephone_number": "904-278-5462",
"fax_number": "904-215-1462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 PARK AVE STE 25",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735557",
"telephone_number": "904-278-5462",
"fax_number": "904-215-1462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARDNAS HEALTH CARE SERVICES OF JACKSONVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-25",
"last_updated": "2016-03-25",
"status": "A",
"authorized_official_last_name": "MOODY",
"authorized_official_first_name": "KADIAN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "904-278-5462",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299992515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006168600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ankod Health Care Services of Jacksonville",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.