Clara Brave Heart Companion Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CLARA BRAVE HEART COMPANION SERVICES LLC

Practice address

3341 Dignan St
Jacksonville, FL 32254-3910

Phone

(904) 520-8191

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Clara Robins

Title

Owner/Cfo

Phone

(904) 520-8191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1114613882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26784",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322266784",
            "telephone_number": "904-520-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 DIGNAN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543910",
            "telephone_number": "904-520-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA BRAVE HEART COMPANION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "ROBINS",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "904-520-8191"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

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