Unknown Individual – Attendant Care Provider, NPI 1023175502

Unknown Individual is a healthcare provider. based in Jacksonville, Florida. specializing in Attendant Care Provider. The NPI Number for Unknown Individual is 1023175502

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023175502
Phone
(904) 696-1946
Address
11515 BIRCH FOREST CIR. W.
Deactivation Date
17 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 11515, Birch Forest Circle West, Northridge, Jacksonville, Duval County, Florida, 32218, United States

    JACKSONVILLE, FL 32218

    Phone: (904) 696-1946

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32218)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1023175502 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Attendant Care Provider. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Jacksonville, Florida?
For routing, start with Jacksonville, Florida for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.