ELLIS-MOORE COROPORATION – NPI #1114737178
Skilled Nursing Facility

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

Health Care Provider Taxonomy Code for Skilled Nursing Facility

ELLIS-MOORE COROPORATION is a skilled nursing facility (SNF) located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1114737178 to ELLIS-MOORE COROPORATION on January 11, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3140N1450X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility, specializing in Nursing Care, Pediatric

The NPI profile was last updated on Jun 04, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELLIS-MOORE COROPORATION below.

NPI Profile for
ELLIS-MOORE COROPORATION

NPI Number
1114737178
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELLIS-MOORE COROPORATION
Primary location
7207 GOLDEN WINGS RD STE 300
JACKSONVILLE, FL 32244-3324
Phone: (904) 710-0437 Fax: (904) 475-2706
Mailing address
3901 UNIVERSITY BLVD S STE 125
JACKSONVILLE, FL 32216-4375
Phone: (904) 683-4355 Fax: (904) 683-7089
Organization Subpart
Yes - ELLIS-MOORE COROPORATION is subpart of another organization.
Authorized Official
JONI HUGHES
OWNER/ADMINISTRATOR
Phone: (904) 710-0437
Updated
Certification Date
Jun 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3140N1450X
- Skilled Nursing Facility / Nursing Care, Pediatric (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.