L&L Divine Community Services Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

229302 Issued in FL

Legal business name

L&L DIVINE COMMUNITY SERVICES INC

Practice address

7605 Lueders Ave
Jacksonville, FL 32208-3443

Phone

(904) 955-2588

Fax

(904) 766-1370

NPI assigned

Nov 13, 2013

Last updated

Nov 13, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Amanda Murray-HardemanNPI 1932539913

Title

Director/Owner

Phone

(904) 955-2588

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Murray-Hardeman

  • Homemaker
  • Jacksonville, FL
  • NPI 1932539913
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1003246968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77253",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322267253",
            "telephone_number": "904-955-2588",
            "fax_number": "904-766-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 LUEDERS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083443",
            "telephone_number": "904-955-2588",
            "fax_number": "904-766-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&L DIVINE COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "MURRAY-HARDEMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "904-955-2588",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "229302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689136596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.