Healthcare Provider Details

I. General information

NPI: 1457467136
Provider Name (Legal Business Name): CR & RA INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 07/21/2022
Certification Date: 12/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 BAYMEADOWS RD STE 450
JACKSONVILLE FL
32256-1896
US

IV. Provider business mailing address

9250 BAYMEADOWS RD STE 450
JACKSONVILLE FL
32256-1896
US

V. Phone/Fax

Practice location:
  • Phone: 904-730-9580
  • Fax: 904-730-9714
Mailing address:
  • Phone: 904-730-9580
  • Fax: 904-730-9714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. MICHAEL LOVELL
Title or Position: PRESIDENT
Credential:
Phone: 480-618-5760