Family First Solution Community Development Corp

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FAMILY FIRST SOLUTION COMMUNITY DEVELOPMENT CORP

Practice address

12280 Sumter Square Dr W
Jacksonville, FL 32218

Phone

(904) 622-8684

NPI assigned

Jul 12, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Aszloyn Nikita Wakefield, ED.S.NPI 1760937155

Title

Ceo

Phone

(904) 622-8684

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aszloyn Nikita Wakefield, ED.S.

  • Case Manager/Care Coordinator
  • Jacksonville, FL
  • NPI 1760937155
  NPD (past) Authorized official

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1114403185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12280 SUMTER SQUARE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186125",
            "telephone_number": "904-622-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12280 SUMTER SQUARE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32218",
            "telephone_number": "904-622-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST SOLUTION COMMUNITY DEVELOPMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "ASZLOYN",
        "authorized_official_middle_name": "NIKITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-622-8684",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ED.S."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018486300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Foundations of Northeast Florida, Inc

• All providers in Jacksonville, FL
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.