Healthcare Provider Details

I. General information

NPI: 1558206102
Provider Name (Legal Business Name): GENERA CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4720 SALISBURY RD
JACKSONVILLE FL
32256-6101
US

IV. Provider business mailing address

4720 SALISBURY RD
JACKSONVILLE FL
32256-6101
US

V. Phone/Fax

Practice location:
  • Phone: 904-339-5938
  • Fax:
Mailing address:
  • Phone: 904-339-5938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: SHANTI MITCHELL
Title or Position: OWNER
Credential: CNA
Phone: 904-339-5938