God'S Serenity Companionship

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GOD'S SERENITY COMPANIONSHIP

Practice address

5710 Lenox Ave Apt 824
Jacksonville, FL 32205-6399

Phone

(904) 253-5518

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Tiara King

Title

Owner

Phone

(904) 253-5518

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1134876154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 LENOX AVE APT 824",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056399",
            "telephone_number": "904-253-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 LENOX AVE APT 824",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056399",
            "telephone_number": "904-253-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOD'S SERENITY COMPANIONSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-253-5518"
    },
    "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 Mar 9, 2022; 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.