Organization Active NPI

Jay'S 3 Blessings

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Auburndale, FL
National Provider Identifier
1013776582
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
JAY'S 3 BLESSINGS
Practice address
1217 Mattie Pointe Blvd
Auburndale, FL 33823-3751
Phone
(321) 586-3550
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Jermiliern Durolin
Title
Owner
Phone
(321) 586-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

1217 Mattie Pointe Blvd
Auburndale, FL 33823-3751

Mailing address

1217 Mattie Pointe Blvd
Auburndale, FL 33823-3751
Phone (321) 586-3550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1013776582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 MATTIE POINTE BLVD",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233751",
            "telephone_number": "321-586-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 MATTIE POINTE BLVD",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233751",
            "telephone_number": "321-586-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY'S 3 BLESSINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "DUROLIN",
        "authorized_official_first_name": "JERMILIERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-586-3550"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.