Provider Demographics
NPI:1013344514
Name:EATON FAMILY ENTERPRISES LLC
Entity Type:Organization
Organization Name:EATON FAMILY ENTERPRISES LLC
Other - Org Name:HOMEWATCH CAREGIVERS SERVING JACKSONVILLE AND ST AUGUSTINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:EATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-525-8109
Mailing Address - Street 1:8280 PRINCETON SQUARE BLVD W
Mailing Address - Street 2:STE 5
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-0314
Mailing Address - Country:US
Mailing Address - Phone:904-525-8109
Mailing Address - Fax:904-379-2102
Practice Address - Street 1:8280 PRINCETON SQUARE BLVD W
Practice Address - Street 2:STE 5
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-0314
Practice Address - Country:US
Practice Address - Phone:904-525-8109
Practice Address - Fax:904-379-2102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994217251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health