Active NPI
Coco Chenele LLC
- Point of Service
- Jacksonville, FL
National Provider Identifier
1043719396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.