Organization · Type 2 NPI

Concierge Home Care of Lake City LLC

Home Health Agency · Lake City, FL

NPI number 1639777345 Active

Practice location

2929 W US Highway 90 Ste 106
Lake City, FL 32055-7283

Call (386) 626-0020 Map

Fax (352) 435-0303

Mailing address

4655 Salisbury Rd Ste 110
Jacksonville, FL 32256-0957

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1639777345
Entity type: Organization (Type 2)
Issued: Oct 14, 2020
Last updated: Jul 24, 2025
Status: Active

Other names

<unavail>
Concierge Home Care · doing business as
Concierge Home Care · doing business as

Authorized official

Mr. Robert Gregory Young
Secretary & Cao
(904) 733-1003

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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 1639777345

Concierge Home Care of Lake City LLC's National Provider Identifier is 1639777345, issued on Oct 14, 2020. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Lake City, FL. The record was last updated on Jul 24, 2025.