Organization Active NPI

Monique Helping Hands

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1144984964
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MONIQUE HELPING HANDS
Practice address
1044 Cherbourg Ave E
Jacksonville, FL 32205-4569
Phone
(904) 625-8745
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Monique Y Sherman Champ
Title
Owner
Phone
(904) 625-8745

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X

Addresses

Primary practice location

1044 Cherbourg Ave E
Jacksonville, FL 32205-4569

Mailing address

1044 Cherbourg Ave E
Jacksonville, FL 32205-4569
Phone (904) 625-8745

Other identifiers 1

IdentifierTypeStateIssuer
COMPANIONOtherFLHOMEMAKER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1144984964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 CHERBOURG AVE E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054569",
            "telephone_number": "904-625-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 CHERBOURG AVE E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054569",
            "telephone_number": "904-625-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIQUE HELPING HANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "SHERMAN CHAMP",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-625-8745"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER",
            "identifier": "COMPANION",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 27, 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.

Verify at the official NPI Registry.