Provider Demographics
NPI:1558060855
Name:EXISTING ASSISTANCE HOME CARE
Entity Type:Organization
Organization Name:EXISTING ASSISTANCE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOMOLIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-820-5840
Mailing Address - Street 1:54 W 42ND ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-5202
Mailing Address - Country:US
Mailing Address - Phone:904-820-5840
Mailing Address - Fax:
Practice Address - Street 1:9951 ATLANTIC BLVD
Practice Address - Street 2:STE 322 PMB 1186
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-3222
Practice Address - Country:US
Practice Address - Phone:904-875-8788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health