First Coast Aging in Place Solutions Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FIRST COAST AGING IN PLACE SOLUTIONS INC

Practice address

13931 Spoonbill St N
Jacksonville, FL 32224-1388

Phone

(904) 832-1986

Fax

(904) 479-0197

NPI assigned

Apr 1, 2020

Organization subpart

No

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

Authorized official

Name

Jacqueline Ndwaru, OTD, OT/LNPI 1497388961

Title

Ceo

Phone

(904) 832-1986

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Jacqueline Ndwaru, OTD, OT/L

  • Occupational Therapist
  • Jacksonville, FL
  • NPI 1497388961
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1891323937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13931 SPOONBILL ST N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241388",
            "telephone_number": "904-832-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13931 SPOONBILL ST N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241388",
            "telephone_number": "904-832-1986",
            "fax_number": "904-479-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST AGING IN PLACE SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "NDWARU",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-832-1986",
        "authorized_official_credential": "OTD, OT/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.