Allstar Home Care LLC
Home Health in Jacksonville, FL. Organization (NPI-2).
NPI number1255979639
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1255979639
- Entity type
- Organization (NPI-2)
- Legal business name
- Allstar Home Care LLC
- Organization subpart
- No
- Enumeration date
- Dec 16, 2019
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
12724 Gran Bay Pkwy W Ste 410Jacksonville, FL 32258-9486
Phone 904-688-5100 · Fax 904-212-1524
Mailing address
12724 Gran Bay Pkwy W Ste 410Jacksonville, FL 32258-9486
Authorized official
Amogelang Keakopa
President
9045147533
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