Active NPI
123 Butterfly Effects L.L.C
- Nurse's Aide
- Jacksonville, FL
National Provider Identifier
1124610092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Legal business name
- 123 BUTTERFLY EFFECTS L.L.C
- Practice address
- 6619 Albicore Rd
Jacksonville, FL 32244-1821 - Phone
- (770) 776-9567
- NPI assigned
- Feb 10, 2021
- Organization subpart
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Holmes
- Title
- Owner
- Phone
- (770) 776-9567
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
6619 Albicore Rd
Jacksonville, FL 32244-1821
Mailing address
6619 Albicore Rd
Jacksonville, FL 32244-1821
Phone (770) 776-9567
Other names 1
- Jacqueline Holmes
National Provider Directory
National Provider Directory- Part of
- 123 Butterfly Effects LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse's Aide
- West Palm BCH, FL
- NPI 1790127967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612915200000",
"number": "1124610092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6619 ALBICORE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322441821",
"telephone_number": "770-776-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6619 ALBICORE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322441821",
"telephone_number": "770-776-9567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "123 BUTTERFLY EFFECTS L.L.C",
"organizational_subpart": "YES",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-776-9567"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jacqueline Holmes",
"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 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.