Organization Active NPI

Home Care Advantage Inc

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1962466540
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME CARE ADVANTAGE INC
Practice address
1512 Montana Ave
Jacksonville, FL 32207-8643
Phone
(904) 306-9729
Fax
(904) 306-0110
NPI assigned
Apr 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eric Nixon
Title
Cfo Coo
Phone
(904) 306-9729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

1512 Montana Ave
Jacksonville, FL 32207-8643

Mailing address

1512 Montana Ave
Jacksonville, FL 32207-8643
Phone (904) 306-9729

National Provider Directory

National Provider Directory

Locations

1512 Montana Ave
Jacksonville, FL 32207
Phone (904) 306-9729

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962466540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 MONTANA AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078643",
            "telephone_number": "904-306-9729",
            "fax_number": "904-306-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 MONTANA AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078643",
            "telephone_number": "904-306-9729",
            "fax_number": "904-306-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE ADVANTAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CFO COO",
        "authorized_official_telephone_number": "904-306-9729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.