Healthcare Provider Details

I. General information

NPI: 1730952110
Provider Name (Legal Business Name): CARE2HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5140 GATE PKWY APT 2204
JACKSONVILLE FL
32256-0234
US

IV. Provider business mailing address

4320 DEERWOOD LAKE PARKWAY STE 101 - 302
JACKSONVILLE FL
32216
US

V. Phone/Fax

Practice location:
  • Phone: 904-613-4470
  • Fax:
Mailing address:
  • Phone: 904-613-4470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MONIQUE L WILLIAMS
Title or Position: NURSE PRACTITIONER
Credential: APRN
Phone: 904-613-4470