Organization Active NPI

Universal Family Care, LLC.

  • Health Service Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1700658697
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
UNIVERSAL FAMILY CARE, LLC.
Practice address
4319 Salisbury Rd Ste 102
Jacksonville, FL 32216-0941
Phone
(904) 723-8034
Fax
(720) 600-0873
NPI assigned
Oct 25, 2023
Organization subpart
Yes
Parent organization
UNIVERSAL FAMILY HEALTH SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Fabiola Marcelin, APRNNPI 1063025906
Title
Manager
Phone
(904) 337-1268

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 12

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WG0000X
Sleep Specialist (PhD)Group: 193200000X MULTI-SPECIALTY GROUP 173F00000X
Independent Medical Examiner PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202C00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Nursing Care Agency 251J00000X
Health Service Clinic/Center 261QH0100X Primary
Multi-Specialty Clinic/Center 261QM1300X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Transportation Network Company 342000000X
Secured Medical Transport (VAN) 343800000X
Non-emergency Medical Transport (VAN) 343900000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

4319 Salisbury Rd Ste 102
Jacksonville, FL 32216-0941

Mailing address

101 Lochnagar Mountain Dr
St Johns, FL 32259-6674
Phone (484) 844-5959

National Provider Directory

National Provider Directory
Part of
Universal Family Health Services Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1700658697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LOCHNAGAR MOUNTAIN DR",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322596674",
            "telephone_number": "484-844-5959",
            "fax_number": "720-600-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 SALISBURY RD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160941",
            "telephone_number": "904-723-8034",
            "fax_number": "720-600-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL FAMILY CARE, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSAL FAMILY HEALTH SERVICES INC.",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "MARCELIN",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-337-1268",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "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 Jan 25, 2024; 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.