Concierge Care of Ponte Vedra LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CONCIERGE CARE OF PONTE VEDRA LLC

Doing business as

Concierge Care

Practice address

230 Canal Blvd Ste 4
Ponte Vedra Beach, FL 32082-3745

Phone

(904) 429-4440

NPI assigned

Nov 6, 2018

Last updated

Sep 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Ralston

Title

Managing Partner

Phone

(904) 534-1655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Concierge Care Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1972071116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1004",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168201",
            "telephone_number": "904-534-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CANAL BLVD STE 4",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823745",
            "telephone_number": "904-429-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE CARE OF PONTE VEDRA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "904-534-1655"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR CARE REFERRAL AGENCY",
            "identifier": "0000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Company",
            "affiliation": "N",
            "endpointDescription": "Managed by Venture Point",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "230 Canal Blvd Ste 4",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320823745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Concierge Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concierge Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.