Ellis-Moore Coroporation

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

ELLIS-MOORE COROPORATION

Practice address

3901 University Blvd S
Suite 125
Jacksonville, FL 32216-4312

Phone

(904) 683-4355

Fax

(904) 683-7089

NPI assigned

Sep 6, 2016

Organization subpart

Yes

Parent organization

JUMPSTART PEDIATRICSAs reported in NPPES

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

Authorized official

Name

Mrs. Joni Hughes, R.N.

Title

Owner/Administrator

Phone

(904) 710-0437

Specialties & licenses 1

Addresses

Other names 1

• JumpStart Pediatrics Doing business as

Tax ID family

Ellis-Moore Coroporation2 organizations share this tax ID, including this one

Part of

Ellis-Moore Coroporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ellis-Moore Coroporation

  • Pediatric Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1114737178
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joni A. Ellis-Hughes, RN, BSN, CCRN, CRNI

  • Administrator Registered Nurse
  • Jacksonville, FL
  • NPI 1609551282
  NPD

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736553600000",
    "number": "1851848006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S",
            "address_2": "SUITE 125",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164312",
            "telephone_number": "904-683-4355",
            "fax_number": "904-683-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S",
            "address_2": "SUITE 125",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164312",
            "telephone_number": "904-683-4355",
            "fax_number": "904-683-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS-MOORE COROPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUMPSTART PEDIATRICS",
        "enumeration_date": "2016-09-06",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "904-710-0437",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JumpStart Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott James Elliott, DDS
• William Rudolph Elliott, RPH
• Ellis Pediatrics, PLLC
• Joni A. Ellis-Hughes, RN, BSN, CCRN, CRNI
• Ellis-Moore Coroporation
• Ellis-Moore Corporation
• Bela Ellis
• Brady Ellis, PHARMD
• Brittany Ellis, LMHC
• Demetric Gazzara Ellis

• Pediatric Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.