Organization Active NPI

Kdawkins LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1063995744
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KDAWKINS LLC
Practice address
841 Prudential Dr # 1229
Jacksonville, FL 32207-8329
Phone
(904) 445-8322
NPI assigned
Sep 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Keith Dawkins
Title
Owner
Phone
(904) 445-8322

Specialties & licenses 1

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

Addresses

Primary practice location

841 Prudential Dr # 1229
Jacksonville, FL 32207-8329

Mailing address

PO Box 2682
Jacksonville, FL 32203-2682
Phone (904) 445-8322

Other names 1

  • Keja Care and Services Doing business as

National Provider Directory

National Provider Directory

Locations

841 Prudential Dr
#1229
Jacksonville, FL 32207
Phone (904) 445-8322

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1063995744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2682",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322032682",
            "telephone_number": "904-445-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR # 1229",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078329",
            "telephone_number": "904-445-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDAWKINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-445-8322"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keja Care and Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keja Care and Services",
            "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 Feb 6, 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.