{"npi":"1467446203","type":"NPI-2","status":"active","name":{"display":"Omni Home Health - Jacksonville, LLC","other":[],"organization_name":"OMNI HOME HEALTH - JACKSONVILLE, LLC","authorised_official":"Joshua Proffitt"},"specialty":{"primary_taxonomy":"251E00000X","primary_taxonomy_description":"Home Health Agency","slug":"home-health-agency","schema_org_specialty":null,"all":[{"code":"251E00000X","description":"Home Health Agency","primary":true,"state":"FL","license":"299991616"}]},"addresses":[{"purpose":"LOCATION","street_1":"2765 REBECCA LN STE A&B","city":"ORANGE CITY","state":"FL","postal_code":"327638326","country_code":"US","phone":"3867750164","fax":"3867750760"},{"purpose":"MAILING","street_1":"PO BOX 51266","city":"LAFAYETTE","state":"LA","postal_code":"705051266","country_code":"US","phone":"3372331307","fax":"3372335764"}],"license":{"state":"FL","number":"299991616"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"004729500","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050316000451","type_code":"00-06","type_desc":"PART A PROVIDER - HOME HEALTH AGENCY","state":"FL","pac_id":"1557316106"}]},"enumeration_date":"2005-09-08","last_updated":"2023-06-13","_meta":{"source":"NPPES","snapshot_date":"2023-06-13","doc_url":"https://findmynpi.com/api"}}