FAMILY LIFE CARE, INC. (NPI# 1295388213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295388213 |
| Entity Type | Organization |
| Organization Name | FAMILY LIFE CARE, INC. |
| Practice Address |
555 Wells Rd Orange Park FL 32073-2923 |
| Practice Telephone | 9045297072 |
| Practice Fax Number | 9045297056 |
| Mailing Telephone | 9045297072 |
| Mailing Fax Number | 9045297056 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | DAVID MCMULLEN (CEO) |
| Authorized Official Telephone | 9045791581 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY LIFE CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HOME HEALTH AGENCY LICENSE | 299994651 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750934659 | Family Life Care, Inc. | Social Worker | 406 Ohio Ave S, Live Oak, FL 32064-3218 | 2019-07-19 |
| 1174175509 | Family Life Care, Inc. | In Home Supportive Care | 216 S Apopka Ave Ste B, Inverness, FL 34452-4845 | 2019-07-16 |
| 1013569938 | Family Life Care, Inc. | In Home Supportive Care | 555 Wells Rd, Orange Park, FL 32073-2923 | 2019-07-11 |
| 1114915295 | Family Life Care, Inc. | In Home Supportive Care | 4061 Nw 43rd St Ste 10, Gainesville, FL 32606-4538 | 2005-10-12 |
| 1851944847 | Family Life Care, Inc. | In Home Supportive Care | 406 Ohio Ave S, Live Oak, FL 32064-3218 | 2019-07-19 |
| Street Address |
555 WELLS RD |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013569938 | Family Life Care, Inc. | In Home Supportive Care | 555 Wells Rd, Orange Park, FL 32073-2923 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839505 | Pinnacle Home Care of The Villages Inc | Home Health | 1700 Wells Rd Ste 23, Orange Park, FL 32073-2374 | 2020-10-19 |
| 1053918664 | Chris Adams | Home Health | 155 Blanding Blvd Ste 10, Orange Park, FL 32073-2624 | 2020-10-06 |
| 1376011825 | Magnolia Care Services LLC | Home Health | 2439 Club Lake Dr, Orange Park, FL 32065-2682 | 2018-11-02 |
| 1649632811 | Ardnas Health Care Services of Jacksonville | Home Health | 2105 Park Ave Ste 25, Orange Park, FL 32073-5557 | 2016-03-25 |
| 1841662616 | Extension Home Care LLC | Home Health | 2132 Gamma Ct, Orange Park, FL 32073-5110 | 2015-10-20 |
| 1669861217 | Independence Living Solutions Inc | Home Health | 2822 Spoonbill Trl, Orange Park, FL 32073-1654 | 2015-01-21 |
| 1558783522 | Miller Home Health Agency, Inc | Home Health | 71 College Dr, Orange Park, FL 32065-9024 | 2014-01-10 |
| 1801147764 | Agape Care, LLC | Home Health | 1441 Canopy Oaks Dr, Orange Park, FL 32065-4298 | 2012-10-01 |
| 1568718906 | Fiat Lux Ventures Inc. | Home Health | 4711 Hwy 17th S, Suite B2, Orange Park, FL 32003-8233 | 2012-08-02 |
| 1033402094 | Empowering You, LLC | Home Health | 661 Blanding Blvd Ste 281, Orange Park, FL 32073-5039 | 2011-05-25 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.