Johnson Homecare (Jacksonville), LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JOHNSON HOMECARE (JACKSONVILLE), LLC

Doing business as

ComForCare Home Care

Practice address

9432 Baymeadows Rd Ste 120
Jacksonville, FL 32256-7988

Phone

(904) 232-4407

Fax

(904) 642-6131

NPI assigned

Jul 7, 2016

Organization subpart

No

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

Authorized official

Name

Carol Reilly

Title

Administrator

Phone

(904) 232-4407

Specialties & licenses 1

Addresses

Other names 1

• ComForCare Home Care Doing business as

Locations

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1760834394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9432 BAYMEADOWS RD STE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567988",
            "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": "9432 BAYMEADOWS RD STE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567988",
            "telephone_number": "904-232-4407",
            "fax_number": "904-642-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON HOMECARE (JACKSONVILLE), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-232-4407"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForCare Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnny Jada MD
• Anthony Johns, QASP
• April Ann Johns, PA-C
• Gretchen Johns, MD
• Sierra Johns
• Keturah Michelle Johnson-Brown, CCC,SLP
• Chardanae Johnson-Gonzalez
• Carrie Johnson-Lupson
• Diane Johnson-McGhee, BS
• Aaron A Johnson

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.