Organization Active NPI

Coco Chenele LLC

  • Point of Service
  • Jacksonville, FL
National Provider Identifier
1043719396
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
COCO CHENELE LLC
Practice address
6650 Corporate Center Pkwy Apt 1317
Jacksonville, FL 32216-8722
Phone
(904) 333-9495
NPI assigned
Feb 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Jasmine Chenele Hughes
Title
Owner
Phone
(904) 333-9495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

6650 Corporate Center Pkwy Apt 1317
Jacksonville, FL 32216-8722

Mailing address

7643 Gate Pkwy Ste 104-518
Jacksonville, FL 32256-2893

National Provider Directory

National Provider Directory

Locations

7643 Gate Pkwy
Ste 104518
Jacksonville, FL 32256

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1043719396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 GATE PKWY STE 104-518",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 CORPORATE CENTER PKWY APT 1317",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168722",
            "telephone_number": "904-333-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCO CHENELE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "CHENELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-333-9495"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 11, 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.