Active NPI
Home Care Advantage Inc
- Home Health Agency
- Jacksonville, FL
National Provider Identifier
1962466540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.