Organization Active NPI

Sunshine Heart Homecare LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1831520394
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
233389 Issued in FL
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

Updated by the provider on Sep 19, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010775800MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.