Provider Demographics
NPI:1689926990
Name:ALMOST HOME SENIOR SERVICES, INC.
Entity Type:Organization
Organization Name:ALMOST HOME SENIOR SERVICES, INC.
Other - Org Name:ALMOST HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:GLAVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-610-6602
Mailing Address - Street 1:9664 HOOD RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-1141
Mailing Address - Country:US
Mailing Address - Phone:904-292-9600
Mailing Address - Fax:904-292-0956
Practice Address - Street 1:9664 HOOD RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-1141
Practice Address - Country:US
Practice Address - Phone:904-292-9600
Practice Address - Fax:904-292-0956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL7872310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL679334700Medicaid