Promedica Hospice (Jacksonville)

LBN: Hcr Manor Care Services Of Florida, Llc
Promedica Hospice (Jacksonville) is an health care organization with primary practice located at 8130 Baymeadows Way W Suite 201, Jacksonville FL 32256-7451. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Hcr Manor Care Services Of Florida, Llc can be contacted via phone (904) 734-2553, or through Allen, Martin D via phone (419) 252-5734.

Contact Information

Primary practice address
8130 Baymeadows Way W Suite 201 Jacksonville FL 32256-7451
Phone: (904) 734-2553
Fax: (904) 737-2631
Website:
Map and Directions
Authorized official contact:
Name: Allen, Martin D
Phone: (419) 252-5734

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X

Profile Details

NPI number 1275666273
LBN Legal business name Hcr Manor Care Services Of Florida, Llc
DBA Doing business as Promedica Hospice (Jacksonville)
Authorized official Allen, Martin D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Jan 31st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275666273 NPPES
Florida MEDICAID 000141800

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