Service Striped Enterprise, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

SERVICE STRIPED ENTERPRISE, LLC

Practice address

8876 Cumbria CT
Jacksonville, FL 32219-4390

Phone

(904) 891-1211

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

Charles D Harper

Title

Owner

Phone

(904) 891-1211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1013595958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8876 CUMBRIA CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322194390",
            "telephone_number": "904-891-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8876 CUMBRIA CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322194390",
            "telephone_number": "904-891-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE STRIPED ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-891-1211"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Serrano
• Wilfredo Serrano
• Peri M. Sert, M.D.
• Serve Well LLC
• Serve Well LLC
• Servitor Inc.
• Sara Elizabeth Servold, PT, DPT
• Daysha Seseberry
• Stacy Seslowsky, RD
• Deanna Sessions-Mitchell

• Developmental Disabilities Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.