NPI 1790406148 · live from the CMS NPI Registry
At Home Palliative Care, LLC
Family Medicine, Hospice and Palliative Medicine in Jacksonville, FL. National Provider Identifier 1790406148, active.
NPI record
| NPI | 1790406148 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Hospice and Palliative Medicine 207QH0002X |
| Practice location | 263 River Hills Dr Ste 3, Jacksonville, FL 32216 |
| Practice phone | 904-222-2273 |
| Mailing address | 463688 State Road 200, Ste 1, #364, Yulee, FL 32097 |
| Enumerated | September 5, 2022 |
| Last updated | May 20, 2025 |
| Authorized official | Crystal Ciszek, Ceo |
| Other names | At Home Primary Care Of Georgia, LLC; At Home Palliative Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Hospice and Palliative Medicine primary | 207QH0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.