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ALLSTAR HOME CARE LLC
NPI 1255979639
Home Health in Jacksonville, FL

Active since December 16, 2019CLIA 10D2246226 · Waiver
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258(904) 688-5100(904) 212-1524 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Allstar Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLSTAR HOME CARE LLC (NPI 1255979639) is a healthcare organization registered as a home health in Jacksonville, Florida and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Amogelang Keakopa, President, as its authorized official.

NPPES Registry Identity

NPI1255979639
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameALLSTAR HOME CARE LLC
Location Address12724 GRAN BAY PKWY W STE 410Jacksonville, FL 32258-9486
Mailing Address12724 Gran Bay Pkwy W Ste 410Jacksonville, FL 32258-9486
Phone(904) 688-5100
Fax(904) 212-1524
Organization SubpartNo
Authorized OfficialAmogelang KeakopaPresident · (904) 514-7533
Enumeration DateDecember 16, 2019
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1255979639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2246226

Allstar Home Care LLC · Jacksonville, FL
Active · expires Dec 21, 2027
CLIA Number10D2246226
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorAmogelang M. Keakopa
Laboratory Phone(904) 688-5100
Laboratory LocationAllstar Home Care LLC12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARL STEVENS
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727
TIFFANY WISHAM
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727
EMEM WILLIAMS
Social Worker (Clinical)
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (608) 371-9624
MRS. EVELYN JEAN TELEMACQUE
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727
ASSURED PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (800) 573-5010
DESIREE CARROLL
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (512) 641-4020
ETHAN WICK
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727
STEPHANIE RENEE MCLUCKIE BEHAV
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allstar Home Care LLC's NPI number?

The NPI number for Allstar Home Care LLC is 1255979639. It was assigned to this organization in the NPPES registry on December 16, 2019.

Where is Allstar Home Care LLC located?

Allstar Home Care LLC is located at 12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258. The listed phone number is (904) 688-5100.

What is Allstar Home Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Allstar Home Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2246226) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Allstar Home Care LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Allstar Home Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allstar Home Care LLC was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.