NPIMap

Organization Active NPI

United Homemaker&Companionservice,Inc

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1043679749
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
UNITED HOMEMAKER&COMPANIONSERVICE,INC
Practice address
900 Cesery Blvd Ste 117
Jacksonville, FL 32211-5687
Phone
(904) 444-8367
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Nacha BeldorNPI 1922543503
Title
Official M
Phone
(904) 444-8367

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X FL

Addresses

Primary practice location

900 Cesery Blvd Ste 117
Jacksonville, FL 32211-5687

Mailing address

900 Cesery Blvd Ste 117
Jacksonville, FL 32211-5687
Phone (904) 444-8367

Other identifiers 2

IdentifierTypeStateIssuer
003805000MedicaidFL
016787100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
United Homemakercompanionserviceinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

900 Cesery Blvd
Ste 117
Jacksonville, FL 32211
Phone (904) 444-8367

Practitioners & affiliated clinicians

Practitioners 2

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": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1043679749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CESERY BLVD STE 117",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115687",
            "telephone_number": "904-444-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CESERY BLVD STE 117",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115687",
            "telephone_number": "904-444-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HOMEMAKER&COMPANIONSERVICE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "BELDOR",
        "authorized_official_first_name": "NACHA",
        "authorized_official_title_or_position": "OFFICIAL M",
        "authorized_official_telephone_number": "904-444-8367"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003805000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016787100",
            "state": "FL"
        }
    ],
    "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 19, 2018; 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.