Organization Active NPI

Home Care Unlimited, LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1699956557
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
230198 Issued in FL
Legal business name
HOME CARE UNLIMITED, LLC
Practice address
3107 Spring Glen Rd
Suite # 208
Jacksonville, FL 32207-5916
Phone
(904) 346-0623
Fax
(904) 346-0624
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Mrs. Edna Freeman
Title
Ceo
Phone
(904) 566-3927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 230198 FL Primary

Addresses

Primary practice location

3107 Spring Glen Rd
Suite # 208
Jacksonville, FL 32207-5916

Mailing address

3107 Spring Glen Rd
Suite # 208
Jacksonville, FL 32207-5916
Phone (904) 346-0623

Other identifiers 1

IdentifierTypeStateIssuer
230198OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory

Locations

3107 Spring Glen Rd
Ste 208
Jacksonville, FL 32207
Phone (904) 346-0623

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1699956557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 SPRING GLEN RD",
            "address_2": "SUITE # 208",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075916",
            "telephone_number": "904-346-0623",
            "fax_number": "904-346-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 SPRING GLEN RD",
            "address_2": "SUITE # 208",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075916",
            "telephone_number": "904-346-0623",
            "fax_number": "904-346-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE UNLIMITED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-566-3927",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "230198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "230198",
            "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 Nov 20, 2007; 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.