Healthcare Provider Details

I. General information

NPI: 1790603694
Provider Name (Legal Business Name): CONCIERGE CARE OF MARION COUNTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 SW 18TH CT BLDG 100
OCALA FL
34471-7857
US

IV. Provider business mailing address

6817 SOUTHPOINT PKWY STE 1004
JACKSONVILLE FL
32216-8201
US

V. Phone/Fax

Practice location:
  • Phone: 352-818-6990
  • Fax:
Mailing address:
  • Phone: 904-534-1655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NANCY RALSTON
Title or Position: MANAGING PARTNER
Credential: RN
Phone: 904-534-1655