CARETENDERS VISITING SERVICES OF ST. AUGUSTINE, LLC (NPI# 1023632569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023632569 |
| Entity Type | Organization |
| Organization Name | CARETENDERS VISITING SERVICES OF ST. AUGUSTINE, LLC |
| Practice Address |
6789 Southpoint Pkwy Ste 200 Jacksonville FL 32216-8206 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 9043463026 |
| Practice Fax Number | 9043463074 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3374434154 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Apex Companion Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992269401 | Caretenders Visiting Services of St. Augustine, LLC | In Home Supportive Care | 310 Wilmette Ave Ste 4, Ormond Beach, FL 32174-5276 | 2019-01-29 |
| 1235236449 | Caretenders Visiting Services of St. Augustine, LLC | Home Health | 3440 Us Highway 1 S Ste 403, St Augustine, FL 32086-6363 | 2006-09-20 |
| 1790345627 | Caretenders Visiting Services of St. Augustine, LLC | Nursing Care | 310 Wilmette Ave Ste 4, Ormond Beach, FL 32174-5276 | 2019-06-13 |
| Street Address |
6789 SOUTHPOINT PKWY STE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-8206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154680 | C.n.e Health Care LLC | In Home Supportive Care | 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 | 2020-11-04 |
| 1255930681 | Beverley's Home Healthcare LLC | In Home Supportive Care | 6404 Shortleaf Pl, Jacksonville, FL 32244-8122 | 2020-10-17 |
| 1063029288 | Gentle Hands of Care,llc | In Home Supportive Care | 12450 Biscayne Blvd Apt 620, Jacksonville, FL 32218-8628 | 2020-09-30 |
| 1922613934 | Just In Time A&n, LLC | In Home Supportive Care | 2212 Edgewood Ave W, Jacksonville, FL 32209-2522 | 2020-09-15 |
| 1225647787 | Foundations for Seniors, Inc | In Home Supportive Care | 1598 Falkland Rd E, Jacksonville, FL 32221-2803 | 2020-07-30 |
| 1184233165 | Elizabeth C Robinson | In Home Supportive Care | 6229 Cranberry Ln E, Jacksonville, FL 32244-7204 | 2020-07-27 |
| 1164040507 | Their Heart Our Passion Provider Services, Inc | In Home Supportive Care | 5687 Colony Pine Cir N, Jacksonville, FL 32244-6245 | 2020-07-13 |
| 1811515125 | Support Services.com, LLC | In Home Supportive Care | 2121 Corporate Square Blvd Ste 118, Jacksonville, FL 32216-1977 | 2020-07-13 |
| 1659996999 | 3d Brighter Hope Care LLC | In Home Supportive Care | 2946 W 6th St, Jacksonville, FL 32254-1904 | 2020-06-12 |
| 1881214765 | Best Senior Care, Inc. | In Home Supportive Care | 1440 W Walnut St Ste A6, Jacksonville, IL 62650-1143 | 2020-04-21 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on CARETENDERS VISITING SERVICES OF ST. AUGUSTINE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.