Organization Active NPI

Harry Borcherding Arnp PA

  • Skilled Nursing Facility
  • Jacksonville, FL
National Provider Identifier
1659539641
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
ARNP 9235683 Issued in FL
Legal business name
HARRY BORCHERDING ARNP PA
Practice address
1401 Riverplace Blvd
#910
Jacksonville, FL 32207-9069
Phone
(352) 514-2595
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Mr. Harry Borcherding, ARNP
Title
President
Phone
(352) 514-2595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X ARNP 9235683 FL Primary

Addresses

Primary practice location

1401 Riverplace Blvd
#910
Jacksonville, FL 32207-9069

Mailing address

1401 Riverplace Blvd
#910
Jacksonville, FL 32207-9069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1659539641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 RIVERPLACE BLVD",
            "address_2": "#910",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 RIVERPLACE BLVD",
            "address_2": "#910",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079069",
            "telephone_number": "352-514-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY BORCHERDING ARNP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "BORCHERDING",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-514-2595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "ARNP 9235683",
            "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 Oct 7, 2008; 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.