Organization
CHC OF GAINESVILLE, LLC
Active
Other names
Concierge Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GREGORY YOUNG (SECRETARY)
(904) 733-1003
Entity
Organization
Contact information
Practice address
4140 NW 37TH PL STE B, GAINESVILLE, FL 32606-8153
(352) 435-0101
(352) 435-0303
Mailing address
4655 SALISBURY RD STE 110, JACKSONVILLE, FL 32256-0957
(904) 733-1003
(904) 448-8855
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2219726
CLIA
FL
01
—
299995198
AHCA
FL
Enumeration date
11/09/2020
Last updated
12/27/2023
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