Active NPI
Jazmine Carter
- Home Health Agency
- Ormond Beach, FL
National Provider Identifier
1083200356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 241377
- Practice address
- 187 Live Oak Ave
Ormond Beach, FL 32174-6327 - Phone
- (386) 675-9151
- NPI assigned
- Dec 21, 2020
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 241377 | FL | |
| Home Delivered Meals | 332U00000X | 241377 | FL | |
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | 241377 | FL | |
| Home Health Agency | 251E00000X | 241377 | FL | Primary |
| Respite Care | 385H00000X | 241377 | FL | |
| Behavior Technician | 106S00000X | |||
| Adult Companion | 372600000X | 241377 | FL |
Addresses
Primary practice location
187 Live Oak Ave
Ormond Beach, FL 32174-6327
Mailing address
187 Live Oak Ave
Ormond Beach, FL 32174-6327
Phone (386) 675-9151
Other practice location 1
1615 Ridgewood Ave Ste 105
Holly Hill, FL 32117-1749
Phone (386) 675-9151
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jc3721@icloud.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241377 | FL | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carters Healthcare Professionals LLC | Home Health | Current | Accepting new patients |
| Carters Healthcare Professionals LLC | Day Training, Developmentally Disabled Services | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Ormond Beach, FL
- NPI 1356937650
Day Training, Developmentally Disabled Services
-
- Home Health Agency
- Ormond Beach, FL
- NPI 1760286546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1083200356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 LIVE OAK AVE",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321746327",
"telephone_number": "386-675-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 LIVE OAK AVE",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321746327",
"telephone_number": "386-675-9151"
}
],
"practiceLocations": [
{
"address_1": "1615 Ridgewood Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Holly Hill",
"state": "FL",
"postal_code": "321171749",
"country_code": "US",
"telephone_number": "386-675-9151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "JAZMINE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "241377",
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "FL",
"license": "241377",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "241377",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "241377",
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "FL",
"license": "241377",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "241377",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jc3721@icloud.com",
"affiliation": "N",
"address_1": "187 Live Oak Ave",
"city": "Ormond Beach",
"state": "FL",
"country_code": "US",
"postal_code": "321746327",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.