# A 1 COMPLETE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114625050
- **Authorized official:** ANTINESE STINSON (OWNER)
- **Authorized official phone:** (904) 651-9032

## Contact information

- **Practice address:** 4541 SHIRLEY AVE STE 4, JACKSONVILLE, FL 32210-2069
- **Practice address phone:** (904) 480-0663
- **Mailing address:** 4541 SHIRLEY AVE STE 4, JACKSONVILLE, FL 32210-2069
- **Mailing address phone:** (904) 480-0663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/20/2023
- **Last updated:** 02/20/2023
