OrganizationActive
Ellis-Moore Coroporation
NPI 1114737178 · Pediatric Skilled Nursing Facility · Jacksonville, FL
Provider details
- NPI number
- 1114737178
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Ellis-Moore Corporation
- Organization subpart
- Yes
- Authorized official
- Joni Hughes, Owner/Administrator(904) 710-0437
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
7207 Golden Wings Rd Ste 300
Jacksonville, FL 32244-3324
Phone: (904) 710-0437
Fax: (904) 475-2706
Approximate (ZIP-level) locationGet directions
Mailing address
3901 University Blvd S Ste 125
Jacksonville, FL 32216-4375
Other names (DBA / former)
- Doing business as
- Jumpstart Pediatrics
- Doing business as
- Jumpstart Pediatrics
Registry dates
- Enumerated
- 2025-01-11
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.