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QUALITY HOME CARE LLC
NPI 1639648603
Assisted Living Facility in Jacksonville, FL

Active since November 19, 2018
12639 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258(904) 707-7675(855) 463-5928 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 30, 2023, May 20, 2022, Apr 8, 2019 and 3 more (6 updates tracked since 2018).

About Quality Home Care Llc NPPES

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

QUALITY HOME CARE LLC (NPI 1639648603) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since November 2018. The organization lists Larisa Grigoryan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639648603
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameQUALITY HOME CARE LLC
Location Address12639 OLD SAINT AUGUSTINE RDJacksonville, FL 32258-2232
Mailing Address12639 Old Saint Augustine RdJacksonville, FL 32258-2232 · (904) 707-7675 · Fax (855) 463-5928
Phone(904) 707-7675
Fax(855) 463-5928
Organization SubpartNo
Authorized OfficialLarisa GrigoryanAdministrator · (904) 707-7675
Enumeration DateNovember 19, 2018
Last NPPES UpdateDecember 27, 20236 updates tracked since enumeration
NPPES CertifiedDecember 27, 2023
✔ NPI 1639648603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedHomemakerTaxonomy 376J00000X
12639 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258
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Other Identifiers 1

Medicaid100858000FL

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 Quality Home Care LLC's NPI number?

The NPI number for Quality Home Care LLC is 1639648603. It was assigned to this organization in the NPPES registry on November 19, 2018.

Where is Quality Home Care LLC located?

Quality Home Care LLC is located at 12639 Old Saint Augustine Rd, Jacksonville, FL 32258. The listed phone number is (904) 707-7675.

What is Quality Home Care LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Quality Home Care LLC was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.