OrganizationActive
Clay County Council on Aging, Inc.
NPI 1679730824 · Health Maintenance Organization · Green Cove Springs, FL
Provider details
- NPI number
- 1679730824
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Andrew Decandis, Executive Director(904) 531-5020
- License
- 5666 (FL)
Specialties & taxonomies
Managed Care Organizations
Managed Care Organizations
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
604 Walnut St
Green Cove Springs, FL 32043-3322
Phone: (904) 284-5977
Fax: (904) 284-0296
Street-level locationGet directions
Mailing address
604 Walnut Street
Green Cove Springs, FL 32043-3322
Other names (DBA / former)
- Doing business as
- (dba) Council on Aging of Clay County
Registry dates
- Enumerated
- 2008-05-16
- Last updated
- 2015-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.