Organization Active NPI

Tina Sines

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1144987165
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TINA SINES
Practice address
1214 Labelle St
Jacksonville, FL 32205-6977
Phone
(904) 878-2204
Fax
(904) 467-3653
NPI assigned
Nov 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Tina SinesNPI 1346855939
Title
Owner/Operator
Phone
(904) 598-4551

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Respite Care 385H00000X

Addresses

Primary practice location

1214 Labelle St
Jacksonville, FL 32205-6977

Mailing address

1214 Labelle St Apt 159
Jacksonville, FL 32205-6975
Phone (904) 598-4551

Other identifiers 1

IdentifierTypeStateIssuer
108429600MedicaidFL

Other names 1

  • Jacks Therapy Center LLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL jackstherapycenter@gmail.com Health Information Exchange (HIE)
CONNECT URL jackstherapycenter@gmail.com Health Information Exchange (HIE)

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.

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1144987165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 LABELLE ST APT 159",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056975",
            "telephone_number": "904-598-4551",
            "fax_number": "904-467-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 LABELLE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056977",
            "telephone_number": "904-878-2204",
            "fax_number": "904-467-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA SINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "SINES",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "904-598-4551"
    },
    "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
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108429600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jackstherapycenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "laptop and mobile",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1214 LaBelle St Apt 159",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322056975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jackstherapycenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "laptop and mobile",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1214 LaBelle St Apt 159",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322056975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jacks Therapy Center LLC",
            "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 Dec 8, 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.