A 1 Complete Care LLC
In Home Supportive Care in Jacksonville, FL. Organization (NPI-2).
NPI number1114625050
StatusActive
Last updated in NPPESFeb 20, 2023
Details
- NPI
- 1114625050
- Entity type
- Organization (NPI-2)
- Legal business name
- A 1 Complete Care LLC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2023
- Certification date
- Feb 20, 2023
- Last updated
- Feb 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251E00000X | Home Health | – | – | |
| 372600000X | Adult Companion | – | – | |
| 385H00000X | Respite Care | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | |
| 385HR2065X | Respite Care, Respite Care, Physical Disabilities, Child | – | – |
Practice location
4541 Shirley Ave Ste 4Jacksonville, FL 32210-2069
Phone 904-480-0663
Mailing address
4541 Shirley Ave Ste 4Jacksonville, FL 32210-2069
Phone 904-480-0663
Authorized official
Antinese Stinson
Owner
9046519032
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