Healthcare Provider Details

I. General information

NPI: 1881510709
Provider Name (Legal Business Name): EMPATHY ALLIANCE COMMUNITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2339 WATERMILL DR
ORANGE PARK FL
32073-1635
US

IV. Provider business mailing address

1845 TOWN CENTER BLVD STE 205
FLEMING ISLAND FL
32003-3359
US

V. Phone/Fax

Practice location:
  • Phone: 904-458-6034
  • Fax: 904-212-2772
Mailing address:
  • Phone: 904-458-6034
  • Fax: 904-212-2772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAYLA NICOLE ROBINSON
Title or Position: CO-OWNER
Credential: MHA
Phone: 904-458-6034