NPI 1003858655 · live from the CMS NPI Registry
Encompass Care Company, INC.
Substance Abuse Rehabilitation Facility in Jacksonville, FL. National Provider Identifier 1003858655, active.
NPI record
| NPI | 1003858655 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Substance Abuse Rehabilitation Facility 324500000X |
| Practice location | 4131 University Blvd S Ste 10, Jacksonville, FL 32216 |
| Practice phone | 508-769-2707 |
| Mailing address | 244 Silver Glen Ave, Saint Augustine, FL 32092 |
| Enumerated | June 11, 2006 |
| Last updated | August 28, 2023 |
| Authorized official | Boris Bergus, Administrator |
| Other names | Accessible Home Health Care Of South Central Massachusetts |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Home Health | 251E00000X | — (MA) |
| Substance Abuse Rehabilitation Facility primary | 324500000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.