Organization · Type 2 NPI

Ellis-Moore Coroporation

Pediatric Skilled Nursing Facility · Jacksonville, FL

NPI number 1114737178 Active

Practice location

7207 Golden Wings Rd Ste 300
Jacksonville, FL 32244-3324

Call (904) 710-0437 Map

Fax (904) 475-2706

Mailing address

3901 University Blvd S Ste 125
Jacksonville, FL 32216-4375

Specialties and licenses

Taxonomy	Code	License
Pediatric Skilled Nursing Facility Primary	3140N1450X	None listed

Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

Another provider at this address

Ellis-Moore CorporationPediatric Skilled Nursing Facility Jacksonville, FL NPI 1336959840

Other pediatric skilled nursing facility providers in Jacksonville

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NPI record

NPI: 1114737178
Entity type: Organization (Type 2)
Issued: Jan 11, 2025
Last updated: Jun 4, 2025
Status: Active
Subpart: Yes of Ellis-Moore Corporation

Other names

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Jumpstart Pediatrics · doing business as
Jumpstart Pediatrics · doing business as

Authorized official

Mrs. Joni Hughes, RN
Owner/administrator
(904) 710-0437

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114737178

Ellis-Moore Coroporation's National Provider Identifier is 1114737178, issued on Jan 11, 2025. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 4, 2025.