Healthcare Provider Details
I. General information
NPI: 1164367330
Provider Name (Legal Business Name): GREATER PURPOSE SENIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6010 DUCLAY RD
JACKSONVILLE FL
32244
US
IV. Provider business mailing address
2478 BRITNEY LAKES LN
JACKSONVILLE FL
32221-3816
US
V. Phone/Fax
- Phone: 904-580-1872
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NAOMI
YOUNGBLOOD
Title or Position: OWNER
Credential:
Phone: 904-580-1872