Active NPI
Sunshine Heart Homecare LLC
- In Home Supportive Care Agency
- Jacksonville, FL
National Provider Identifier
1831520394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 233389
- Legal business name
- SUNSHINE HEART HOMECARE LLC
- Practice address
- 9378 Arlington Expressway
218
Jacksonville, FL 32225-7416 - Phone
- (904) 422-6647
- NPI assigned
- Dec 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judith McLeod
- Title
- Manger/Owner
- Phone
- (904) 422-6647
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 233389 | FL | Primary |
Addresses
Primary practice location
9378 Arlington Expressway
218
Jacksonville, FL 32225-7416
Mailing address
9378 Arlington Expy
218
Jacksonville, FL 32225-8213
Phone (904) 422-6647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010775800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411084800000",
"number": "1831520394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9378 ARLINGTON EXPY",
"address_2": "218",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322258213",
"telephone_number": "904-422-6647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9378 ARLINGTON EXPRESSWAY",
"address_2": "218",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322257416",
"telephone_number": "904-422-6647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE HEART HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-10",
"last_updated": "2014-09-19",
"status": "A",
"authorized_official_last_name": "MCLEOD",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "MANGER/OWNER",
"authorized_official_telephone_number": "904-422-6647"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": "233389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010775800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.