Provider Demographics
NPI:1982977443
Name:A1 CARE SYSTEMS INC
Entity type:Organization
Organization Name:A1 CARE SYSTEMS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NONYE
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:NDUKA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:904-716-7106
Mailing Address - Street 1:7449 SANDHURST RD S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-3705
Mailing Address - Country:US
Mailing Address - Phone:904-527-3391
Mailing Address - Fax:904-527-3962
Practice Address - Street 1:7449 SANDHURST RD S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32277
Practice Address - Country:US
Practice Address - Phone:904-527-3391
Practice Address - Fax:904-527-3962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL12089310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility