A Place At Home, LLC
In Home Supportive Care in Jacksonville, FL. Organization (NPI-2).
NPI number1003200874
StatusActive
Last updated in NPPESDec 9, 2025
Details
- NPI
- 1003200874
- Entity type
- Organization (NPI-2)
- Legal business name
- A Place At Home, LLC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2015
- Certification date
- Dec 9, 2025
- Last updated
- Dec 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251E00000X | Home Health | HHA201205 | NE |
Practice location
4237 Salisbury Rd Ste 305Jacksonville, FL 32216-0908
Phone 904-539-4688
Mailing address
11422 Miracle Hills Dr Ste 450Omaha, NE 68154-4443
Phone 888-502-6310
Authorized official
Dustin Distefano
Ceo
4022810737
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