MEDICARE: FROM THE GROUND UP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1285180067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FROM THE GROUND UP INC

Provider Business Mailing Address
First Line	:	P O BOX 2384
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32203
Country	:	US
Telephone Number	:	904-338-1259
Fax Number	:	904-212-2509

Provider Business Practice Location Address
First Line	:	7528 ARLINGTON EXPRESSWAY UNIT 313
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32203
Country	:	US
Telephone Number	:	904-338-1259
Fax Number	:	904-212-2509

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	EBONY R DAVIS
Credential	:	MSW
Telephone Number	:	904-338-1259

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	08/31/2016

Similar Medicare Providers

1700311123 — AGC WORLDWIDE LLC
Practice Location Address:

1100 KINGS RD UNIT 41645
JACKSONVILLE, FL
32203-7703

Practice Phone: 904-993-6101
Practice Fax:

1255121307 — VERNELL KING ENTRPRISE LLC
Practice Location Address:

1100 KINGS ROAD , UNIT 2785
JACKSONVILLE, FL
32203-2785

Practice Phone: 904-467-0737
Practice Fax:

1942193008 — NICHELLE RENEE SMITH
Practice Location Address:

PO BOX 2543
JACKSONVILLE, FL
32203-2543

Practice Phone: 904-651-6432
Practice Fax:

1508759176 — VERNELL KING ENTERPRISE LLC
Practice Location Address:

1100 KINGS RD UNIT 2785
JACKSONVILLE, FL
32203

Practice Phone: 561-358-2049
Practice Fax:

1073484671 — MS. EBONY BROWN
Practice Location Address:

1100 KINGS RD UNIT 40123
JACKSONVILLE, FL
32203-7779

Practice Phone: 904-846-7575
Practice Fax:

1639043813 — GENTLE HEARTS SUPPORT & SERVICES LLC
Practice Location Address:

1100 KINGS RD UNIT 40123
JACKSONVILLE, FL
32203-7779

Practice Phone: 904-846-7575
Practice Fax:

Directions to “FROM THE GROUND UP INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.