Caretenders of Jacksonville, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARETENDERS OF JACKSONVILLE, LLC

Practice address

155 Blanding Blvd
Suite 1
Orange Park, FL 32073-2630

Phone

(904) 272-7607

Fax

(904) 272-7983

NPI assigned

Nov 16, 2006

Organization subpart

Yes

Parent organization

CARETENDERS OF JACKSONVILLE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Patrick Todd Lyles

Title

Sr. V.P., Administration

Phone

(502) 891-1044

Specialties & licenses 1

Addresses

Other names 1

• Apex Home Healthcare Doing business as

Part of

Caretenders of Jacksonville LLC

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.

• Caretenders of Jacksonville LLC

  • Rehabilitation Clinic/Center
  • St Augustine, FL
  • NPI 1376792937
  NPPES parent name

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1902979164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-891-1000",
            "fax_number": "502-891-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BLANDING BLVD",
            "address_2": "SUITE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732630",
            "telephone_number": "904-272-7607",
            "fax_number": "904-272-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARETENDERS OF JACKSONVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARETENDERS OF JACKSONVILLE, LLC",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "LYLES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "SR. V.P., ADMINISTRATION",
        "authorized_official_telephone_number": "502-891-1044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lewis Anthony Caputa, Jr., D.M.D.
• Victoria C. Carbajal
• Ryan Card, OTR/L
• Carenodes of Florida LLC
• Cares Consulting Services LLC, Dba Pinnacle NP Mobile Health
• Shana L. Carey, ARNP
• Caroline Elizabeth Carlin
• Carlos L. Esquivia-Munoz, M.D.P.a.
• Cheryl Carlyon, L.M.H.C.
• Carole J Crane PHD PA

• Home Health Agency in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.