Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Home Care of Jax LLC

Organization Case Manager/Care Coordinator · NPI 1104470749

Elite Home Care of Jax LLC is a Case Manager/Care Coordinator in Jacksonville, Florida. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
10
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16334 Dawnwood Ct
Jacksonville, FL 32218-0107
Phone: (904) 339-2611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Case Management Agency Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X
Adult Care Home Facility Taxonomy 311ZA0620X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1104470749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawndrea Thomas-Gibson — Ceo/Owner · (904) 339-2611
NPI enumeratedJuly 31, 2019
Last updated in NPPESJanuary 2, 2021
Certification dateJanuary 2, 2021
Mailing address16334 Dawnwood Ct, Jacksonville, FL 32218-0107

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