NPIMap

Organization Active NPI

Obi'S Adult Family Care LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1669987293
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OBI'S ADULT FAMILY CARE LLC
Practice address
3130 Kingston St
Jacksonville, FL 32254-2524
Phone
(904) 728-7474
NPI assigned
Dec 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Makaela ObiNPI 1225551773
Title
Owner
Phone
(904) 728-7474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Adult Care Home Facility 311ZA0620X 6906906 FL

Addresses

Primary practice location

3130 Kingston St
Jacksonville, FL 32254-2524

Mailing address

3130 Kingston St
Jacksonville, FL 32254-2524
Phone (904) 728-7474

National Provider Directory

National Provider Directory
Tax ID family
Obi'S Adult Family Care LLC2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1669987293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 KINGSTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322542524",
            "telephone_number": "904-728-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 KINGSTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322542524",
            "telephone_number": "904-728-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBI'S ADULT FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "OBI",
        "authorized_official_first_name": "MAKAELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-728-7474"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906906",
            "primary": false
        }
    ],
    "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 Apr 9, 2018; 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.