Active NPI
Tykeriha Graham
- Homemaker
- Jacksonville, FL
National Provider Identifier
1033939756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 240386
- Practice address
- 7867 Playschool LN
Jacksonville, FL 32210-1428 - Phone
- (904) 294-5271
- NPI assigned
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 240386 | FL | Primary |
| Adult Companion | 372600000X | 240386 | FL |
Addresses
Primary practice location
7867 Playschool LN
Jacksonville, FL 32210-1428
Mailing address
7867 Playschool LN
Jacksonville, FL 32210-1428
Phone (904) 294-5271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240386 | FL | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life and Longevity Homecare LLC | Adult Companion | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1033939756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7867 PLAYSCHOOL LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322101428",
"telephone_number": "904-294-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7867 PLAYSCHOOL LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322101428",
"telephone_number": "904-294-5271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "TYKERIHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-16",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "240386",
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "240386",
"primary": false
}
],
"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 Nov 26, 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.