Healthcare Provider Details

I. General information

NPI: 1447179429
Provider Name (Legal Business Name): JONESIN FL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 HARTLEY RD STE 160
JACKSONVILLE FL
32257-8210
US

IV. Provider business mailing address

3030 HARTLEY RD STE 160
JACKSONVILLE FL
32257-8210
US

V. Phone/Fax

Practice location:
  • Phone: 757-805-2362
  • Fax:
Mailing address:
  • Phone: 757-805-2362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MATTHEW JONES
Title or Position: ADMINISTRATOR
Credential:
Phone: 757-805-2362