Provider Demographics
NPI:1376714485
Name:CARETENDERS OF JACKSONVILLE, LLC
Entity Type:Organization
Organization Name:CARETENDERS OF JACKSONVILLE, LLC
Other - Org Name:APEX HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PROFFITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-233-1307
Mailing Address - Street 1:PO BOX 51266
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-1266
Mailing Address - Country:US
Mailing Address - Phone:337-233-1307
Mailing Address - Fax:337-443-4154
Practice Address - Street 1:6621 SOUTHPOINT DR N STE 340
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6194
Practice Address - Country:US
Practice Address - Phone:904-425-4202
Practice Address - Fax:904-425-4203
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARETENDERS OF JACKSONVILLE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-17
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health