OrganizationActive
Elite Home Care of Jax LLC
NPI 1104470749 · Home Health Agency · Jacksonville, FL
Provider details
- NPI number
- 1104470749
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shawndrea Thomas-Gibson, Ceo/Owner(904) 339-2611
Specialties & taxonomies
Agencies
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Case Management Agency251B00000X
Agencies
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16334 Dawnwood Ct
Jacksonville, FL 32218-0107
Phone: (904) 339-2611
Street-level locationGet directions
Mailing address
16334 Dawnwood Ct
Jacksonville, FL 32218-0107
Registry dates
- Enumerated
- 2019-07-31
- Last updated
- 2021-01-02
- Certified
- 2021-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.