Active NPI
Jacqueline Shandelle Machaliwa
- Home Health Aide
- Tampa, FL
National Provider Identifier
1053829705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 17401 Commerce Park Blvd Ste 1000
Tampa, FL 33647-3501 - Phone
- (813) 900-1118
- NPI assigned
- Jan 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
17401 Commerce Park Blvd Ste 1000
Tampa, FL 33647-3501
Mailing address
17401 Commerce Park Blvd Ste 1000
Tampa, FL 33647-3501
Phone (813) 900-1118
Other practice location 1
200 W Madison St
Chicago, IL 60606-3414
Phone (813) 900-1118
Other practice location 2
2429 Camden Oaks Pl
Valrico, FL 33594-4638
Phone (813) 900-1118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 823901801 | Medicaid | IL | |
| 823901801 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be a Blessing Services Home Care LLC | Home Health Aide | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Aide
- Tampa, FL
- NPI 1215746870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1053829705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17401 COMMERCE PARK BLVD STE 1000",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473501",
"telephone_number": "813-900-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17401 COMMERCE PARK BLVD STE 1000",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473501",
"telephone_number": "813-900-1118"
}
],
"practiceLocations": [
{
"address_1": "200 W Madison St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606063414",
"country_code": "US",
"telephone_number": "813-900-1118",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2429 Camden Oaks Pl",
"address_purpose": "LOCATION",
"city": "Valrico",
"state": "FL",
"postal_code": "335944638",
"country_code": "US",
"telephone_number": "813-900-1118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACHALIWA",
"first_name": "JACQUELINE",
"middle_name": "SHANDELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "823901801",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "823901801",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.