Upscale Personal Care Home

LBN: Upscale Personal Care Home
Upscale Personal Care Home is an health care organization with primary practice located at 4375 Autumn River Road , Jacksonville FL 32224. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Upscale Personal Care Home can be contacted via phone (904) 762-5477, or through Henderson, Regina via phone (404) 693-3033.

Contact Information

Primary practice address
4375 Autumn River Road Jacksonville FL 32224
Phone: (904) 762-5477
Fax: (904) 239-3088
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Regina
Phone: (404) 693-3033

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL12575 Florida

Profile Details

NPI number 1003299603
LBN Legal business name Upscale Personal Care Home
DBA Doing business as
Authorized official Henderson, Regina
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2015
Last updated Jul 1st, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003299603 NPPES
Florida Other AL12575 AHCA

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