NPIMap

Organization Active NPI

Evans Homemaking, Companion and Sitter Services LLC.

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1184278384
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVANS HOMEMAKING, COMPANION AND SITTER SERVICES LLC.
Practice address
7990 Baymeadows Rd E Unit 1001
Jacksonville, FL 32256-2977
Phone
(904) 379-7359
Fax
(904) 379-7359
NPI assigned
Jul 26, 2019
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Erica Kay Evans, MSH, BHANPI 1184439572
Title
Administrator
Phone
(904) 379-7359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

7990 Baymeadows Rd E Unit 1001
Jacksonville, FL 32256-2977

Mailing address

7990 Baymeadows Rd E Unit 1001
Jacksonville, FL 32256-2977
Phone (904) 250-7363

Other identifiers 1

IdentifierTypeStateIssuer
102744000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erica.evans@alf-trainingprovider.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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1184278384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 BAYMEADOWS RD E UNIT 1001",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562977",
            "telephone_number": "904-250-7363",
            "fax_number": "904-379-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7990 BAYMEADOWS RD E UNIT 1001",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562977",
            "telephone_number": "904-379-7359",
            "fax_number": "904-379-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS HOMEMAKING, COMPANION AND SITTER SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-379-7359",
        "authorized_official_credential": "MSH, BHA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102744000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica.evans@alf-trainingprovider.com",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7990 Baymeadows Rd E Unit 1001",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322562977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 26, 2019; 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.