Organization · Type 2 NPI

Ellis-Moore Coroporation

Pediatric Skilled Nursing Facility · Jacksonville, FL

NPI number 1851848006 Active

Practice location

3901 University Blvd S, Suite 125
Jacksonville, FL 32216-4312

Fax (904) 683-7089

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.

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NPI record

NPI: 1851848006
Entity type: Organization (Type 2)
Issued: Sep 6, 2016
Last updated: Jan 11, 2025
Status: Active
Subpart: Yes of Jumpstart Pediatrics

Other names

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Jumpstart Pediatrics · doing business as

Authorized official

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

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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 1851848006

Ellis-Moore Coroporation's National Provider Identifier is 1851848006, issued on Sep 6, 2016. 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 Jan 11, 2025.