Organization Active NPI

Vanness Co., LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1720377450
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
299992134 Issued in FL
Legal business name
VANNESS CO., LLC
Doing business as
ComForcare Senior Services
Practice address
8825 Perimeter Park Blvd
Suite 501
Jacksonville, FL 32216-1108
Phone
(904) 232-4407
Fax
(904) 642-6131
NPI assigned
Apr 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Jill Metlin
Title
Owner
Phone
(904) 232-4407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 299992134 FL Primary

Addresses

Primary practice location

8825 Perimeter Park Blvd
Suite 501
Jacksonville, FL 32216-1108

Mailing address

8825 Perimeter Park Blvd
Suite 501
Jacksonville, FL 32216-1108
Phone (904) 232-4407

Other names 1

  • ComForcare Senior Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comforcare Home Health2 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.

Locations

8825 Perimeter Park Blvd
Ste 501
Jacksonville, FL 32216
Phone (904) 232-4407

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1720377450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD",
            "address_2": "SUITE 501",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161108",
            "telephone_number": "904-232-4407",
            "fax_number": "904-642-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD",
            "address_2": "SUITE 501",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161108",
            "telephone_number": "904-232-4407",
            "fax_number": "904-642-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANNESS CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "METLIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-232-4407"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "299992134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 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.