Organization Active NPI

Just a Friend Elder Care

  • Homemaker
  • Palm Bay, FL
National Provider Identifier
1114758216
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
JUST A FRIEND ELDER CARE
Practice address
4650 Lipscomb St NE Ste 14
Palm Bay, FL 32905-2997
Phone
(321) 527-4019
NPI assigned
Aug 9, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Beverly Gordon Hall
Title
Owner
Phone
(321) 527-4019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

4650 Lipscomb St NE Ste 14
Palm Bay, FL 32905-2997

Mailing address

4650 Lipscomb St NE Ste 14
Palm Bay, FL 32905-2997
Phone (321) 527-4019

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1114758216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 LIPSCOMB ST NE STE 14",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052997",
            "telephone_number": "321-527-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 LIPSCOMB ST NE STE 14",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052997",
            "telephone_number": "321-527-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST A FRIEND ELDER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "GORDON HALL",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-527-4019"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.