Organization
GENESIS HOME HEALTHCARE, LIMITED LIABILITY COMPANY, JACKSO
Active
Other names
ORIGIN HOME HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLAUDIA CARACO (OWNER)
(904) 204-4325
Entity
Organization
Contact information
Practice address
10175 FORTUNE PKWY, UNIT 804, JACKSONVILLE, FL 32256-6751
(904) 204-4325
(844) 718-0076
Mailing address
10175 FORTUNE PKWY, UNIT 804, JACKSONVILLE, FL 32256-6751
(813) 641-0500
(844) 718-0076
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/29/2022
Last updated
01/31/2025
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