St. Vincent'S Home Health

LBN: Omni Home Health District 4, Llc
St. Vincent'S Home Health is an health care organization with primary practice located at 2651 Park St , Jacksonville FL 32204-4519. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Omni Home Health District 4, Llc can be contacted via phone (904) 389-7385, or through Mcfaddin, Amanda via phone (615) 712-2250.

Contact Information

Primary practice address
2651 Park St Jacksonville FL 32204-4519
Fax: (904) 389-7359
Website:
Authorized official contact:
Name: Mcfaddin, Amanda

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 299991765 Florida

Profile Details

NPI number 1720060601
LBN Legal business name Omni Home Health District 4, Llc
DBA Doing business as St. Vincent'S Home Health
Authorized official Mcfaddin, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2005
Last updated Jun 7th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720060601 NPPES
Florida MEDICAID 004233000

Popular Providers