EENCORE LLC NPI 1770256919

NPI Information

  • NPI: 1770256919
  • Provider Name: EENCORE LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2226622
  • Address: 1734 KINGSLEY AVE STE 6
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 521-0493

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NPI Details

EENCORE LLC is a clinic center in Orange Park, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EENCORE LLC NPI is 1770256919. The provider is registered as an organization entity type.

The provider's business location address is:

1734 KINGSLEY AVE STE 6
ORANGE PARK, FL
ZIP 32073-418
Phone: (904) 521-0493

The provider's authorized official is April Gibson .
The authorized official title is Owner/director and has the following contact phone number (904) 521-0493.

The CLIA number assigned to this NPI record is 10D2226622 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2021 and was last updated on 7/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes
2347C00000XPrivate VehicleNo
3372500000XChore ProviderNo
4372600000XAdult CompanionNo
53747A0650XTechnicianAttendant Care ProviderNo
63747P1801XTechnicianPersonal Care AttendantNo
7374U00000XHome Health AideNo
8376J00000XHomemakerNo
9376K00000XNurse's AideNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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