Organization
CONCIERGE HOME CARE OF LAKE CITY LLC
Active
Other names
Concierge Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GREGORY YOUNG (SECRETARY & CAO)
(904) 733-1003
Entity
Organization
Contact information
Practice address
2929 W US HIGHWAY 90 STE 106, LAKE CITY, FL 32055-7283
(386) 626-0020
(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
—
10D2220708
CLIA
FL
01
—
299995200
AHCA
FL
Enumeration date
10/14/2020
Last updated
07/24/2025
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