Provider Demographics
NPI:1831856442
Name:TAKS CARE GROUP LLC
Entity type:Organization
Organization Name:TAKS CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTELLE
Authorized Official - Middle Name:TAKOU
Authorized Official - Last Name:OBEN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:904-907-7768
Mailing Address - Street 1:PO BOX 600865
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32260-0865
Mailing Address - Country:US
Mailing Address - Phone:904-217-8952
Mailing Address - Fax:682-201-2130
Practice Address - Street 1:3830 WILLIAMSBURG PARK BLVD UNIT 4
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-9200
Practice Address - Country:US
Practice Address - Phone:904-217-8952
Practice Address - Fax:682-201-2130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service