Americare Health Systems

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

NOT REQUIRED Issued in FL

Legal business name

AMERICARE HEALTH SYSTEMS

Practice address

478 Osceola Ave
Jacksonville Beach, FL 32250-4082

Phone

(904) 241-5310

Fax

(904) 247-9145

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas C Walt

Title

President

Phone

(904) 241-5310

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1720047640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51582",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322401582",
            "telephone_number": "904-241-5310",
            "fax_number": "904-247-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 OSCEOLA AVE",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504082",
            "telephone_number": "904-241-5310",
            "fax_number": "904-247-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARE HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "WALT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-241-5310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "NOT REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90712308",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1954268",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010065097",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134776741",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Janice Elaine Anderson, RN

• Durable Medical Equipment & Medical Supplies in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.