Organization Active NPI

Ganesh Healthcare of Jax LLC

  • Adult Day Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1780160192
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GANESH HEALTHCARE OF JAX LLC
Doing business as
River Front Adult Day Care
Practice address
644 Cesery Blvd Ste 150
Jacksonville, FL 32211
Phone
(904) 420-3900
NPI assigned
Jul 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Dr. Vipul R Patel, DC
Title
Ceo
Phone
(904) 487-8320

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

644 Cesery Blvd Ste 150
Jacksonville, FL 32211

Mailing address

644 Cesery Blvd Ste 106
Jacksonville, FL 32211-7165
Phone (904) 420-3900

Other names 1

  • River Front Adult Day Care Doing business as

National Provider Directory

National Provider Directory

Locations

644 Cesery Blvd
Ste 150
Jacksonville, FL 32211
Phone (904) 420-3900

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1780160192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 CESERY BLVD STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117165",
            "telephone_number": "904-420-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 CESERY BLVD STE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32211",
            "telephone_number": "904-420-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANESH HEALTHCARE OF JAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-487-8320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Front Adult Day Care",
            "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 Jul 18, 2018; 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.