Organization Active NPI

Ara Home Health Care Inc

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1851763254
Registry record updated Oct 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ARA HOME HEALTH CARE INC
Practice address
664 Lady Lake Rd W
Jacksonville, FL 32218-8469
Phone
(904) 349-9827
NPI assigned
Oct 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2015

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

Authorized official

Name
Ms. Ruby J Stockdale
Title
Ceo
Phone
(904) 349-9827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X FL Primary

Addresses

Primary practice location

664 Lady Lake Rd W
Jacksonville, FL 32218-8469

Mailing address

664 Lady Lake Rd W
Jacksonville, FL 32218-8469
Phone (904) 349-9827

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445644800000",
    "number": "1851763254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 LADY LAKE RD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188469",
            "telephone_number": "904-349-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 LADY LAKE RD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188469",
            "telephone_number": "904-349-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-24",
        "last_updated": "2015-10-24",
        "status": "A",
        "authorized_official_last_name": "STOCKDALE",
        "authorized_official_first_name": "RUBY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-349-9827",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "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 Oct 24, 2015; 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.