Concierge Care of Amelia Island, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CONCIERGE CARE OF AMELIA ISLAND, LLC

Doing business as

Concierge Care

Practice address

649 Amelia Island Pkwy Ste CC
Fernandina Beach, FL 32034-9140

Phone

(904) 534-1655

NPI assigned

Nov 25, 2019

Organization subpart

No

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

Authorized official

Name

Nancy Ralston

Title

Managing Partner

Phone

(904) 534-1655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Concierge Care Doing business as

Electronic endpoints 1

Tax ID family

Concierge Care2 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.

• Concierge Care of St. Augustine LLC

  • In Home Supportive Care Agency
  • St Augustine, FL
  • NPI 1346875499
  NPD tax ID

Locations

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1801432828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1004",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168201",
            "telephone_number": "904-534-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 AMELIA ISLAND PKWY STE CC",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320349140",
            "telephone_number": "904-534-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE CARE OF AMELIA ISLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "904-534-1655"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR CARE REFERRAL SERVICES",
            "identifier": "00000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Company",
            "affiliation": "N",
            "endpointDescription": "Managed by Venture Point",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "649 Amelia Island Pkwy Ste Cc",
            "city": "Fernandina Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320349140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Concierge Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concierge Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.