Organization Active NPI

Juanita Companion Care LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1003518002
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JUANITA COMPANION CARE LLC
Practice address
1365 Helena St
Jacksonville, FL 32208-3325
Phone
(904) 517-3882
Fax
(904) 513-4985
NPI assigned
Mar 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Joanna L JohnsonNPI 1104378041
Title
Ambr
Phone
(904) 517-3882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1365 Helena St
Jacksonville, FL 32208-3325

Mailing address

1365 Helena St
Jacksonville, FL 32208-3325
Phone (904) 517-3882

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1003518002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 HELENA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083325",
            "telephone_number": "904-517-3882",
            "fax_number": "904-513-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 HELENA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083325",
            "telephone_number": "904-517-3882",
            "fax_number": "904-513-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANITA COMPANION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "904-517-3882"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.