NPIMap

Organization Active NPI

Jazmin Serra

  • Home Health Agency
  • Lake Mary, FL
National Provider Identifier
1013358423
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
233395 Issued in FL
Legal business name
JAZMIN SERRA
Practice address
160 International Pkwy Ste 100
Lake Mary, FL 32746-5057
Phone
(321) 775-5685
Fax
(407) 650-2699
NPI assigned
Jul 13, 2013
Last updated
Feb 20, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
AMAZING COMPANIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Dr. Jazmin Serra, PHD
Title
President/Owner
Phone
(321) 775-5685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 233395 FL Primary

Addresses

Primary practice location

160 International Pkwy Ste 100
Lake Mary, FL 32746-5057

Mailing address

160 International Pkwy Ste 100
Lake Mary, FL 32746-5057
Phone (321) 775-5685

Other identifiers 1

IdentifierTypeStateIssuer
022390100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Jazmin Serra2 organizations share this tax ID, including this one
Part of
Jazmin Serra

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1373673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1013358423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 INTERNATIONAL PKWY STE 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465057",
            "telephone_number": "321-775-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 INTERNATIONAL PKWY STE 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465057",
            "telephone_number": "321-775-5685",
            "fax_number": "407-650-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAZMIN SERRA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMAZING COMPANIONS",
        "enumeration_date": "2013-07-13",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "SERRA",
        "authorized_official_first_name": "JAZMIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "321-775-5685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "233395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022390100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.