Active NPI
Obi's Adult Family Care LLC
- Adult Care Home Facility
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 6906906
- Legal business name
- OBI'S ADULT FAMILY CARE LLC
- Practice address
- 3130 Kingston St
Jacksonville, FL 32254-2524 - Phone
- (904) 728-7474
- NPI assigned
- Apr 11, 2018
- Last updated
- Apr 11, 2018
- Organization subpart
- Yes
- Parent organization
- OBI'S ADULT FAMILY CARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Makaela Obi
- Title
- Owner
- Phone
- (904) 728-7474
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 6906906 | FL | Primary |
Addresses
Primary practice location
3130 Kingston St
Jacksonville, FL 32254-2524
Mailing address
3130 Kingston St
Jacksonville, FL 32254-2524
Phone (904) 728-7474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6906906 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Obi's Adult Family Care LLC
- Part of
- Obi's Adult Family Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1669987293
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1669987293
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Homemaker
- Jacksonville, FL
- NPI 1225551773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523404800000",
"number": "1841797354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 KINGSTON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322542524",
"telephone_number": "904-728-7474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 KINGSTON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322542524",
"telephone_number": "904-728-7474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBI'S ADULT FAMILY CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OBI'S ADULT FAMILY CARE, LLC",
"enumeration_date": "2018-04-11",
"last_updated": "2018-04-11",
"status": "A",
"authorized_official_last_name": "OBI",
"authorized_official_first_name": "MAKAELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-728-7474"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "6906906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6906906",
"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 Apr 11, 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.