Active NPI
Tina Sines
- In Home Supportive Care Agency
- Jacksonville, FL
National Provider Identifier
1144987165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Sines
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108429600 | Medicaid | FL |
Other names 1
- Jacks Therapy Center LLC
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jackstherapycenter@gmail.com | Health Information Exchange (HIE) | |
| CONNECT URL | jackstherapycenter@gmail.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Homemaker
- Jacksonville, FL
- NPI 1346855939
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.