Organization Active NPI

Professional Senior Advocates of Florida, Inc.

Doing business as My Home Sweet Home

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1053012534
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PROFESSIONAL SENIOR ADVOCATES OF FLORIDA, INC.
Doing business as
My Home Sweet Home
Practice address
6100 Greenland Rd Ste 602
Jacksonville, FL 32258-7436
Phone
(904) 675-9280
Fax
(904) 675-9281
NPI assigned
Mar 13, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Mrs. Charlotte Christine Mikan, RNNPI 1922437433
Title
Administrator
Phone
(904) 675-9280

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

6100 Greenland Rd Ste 602
Jacksonville, FL 32258-7436

Mailing address

6100 Greenland Rd Ste 602
Jacksonville, FL 32258-7436
Phone (904) 675-9280

Other names 1

  • My Home Sweet Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
My Home Sweet Home2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1053012534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 602",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587436",
            "telephone_number": "904-675-9280",
            "fax_number": "904-675-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 602",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587436",
            "telephone_number": "904-675-9280",
            "fax_number": "904-675-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SENIOR ADVOCATES OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "MIKAN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-675-9280",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Home Sweet Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 14, 2023; 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.