Organization Active NPI

Ardnas Health Care Services of Jacksonville

  • Home Health Agency
  • Orange Park, FL
National Provider Identifier
1649632811
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992515 Issued in FL
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

Updated by the provider on Mar 25, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
006168600MedicaidFL

Other names 1

  • Ankod Health Care Services of Jacksonville Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Ankod Health Care Services of Jacksonville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.