Active NPI
Senior Helper at Home LLC
- Homemaker
- Jacksonville, FL
National Provider Identifier
1184344640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Legal business name
- SENIOR HELPER AT HOME LLC
- Practice address
- 10895 Coral Shores Dr Unit 310 BLDG 7
Jacksonville, FL 32256-2126 - Phone
- (813) 479-5052
- NPI assigned
- Sep 2, 2022
- 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
- Erica J Gill
- Title
- Owner
- Phone
- (813) 479-5052
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
10895 Coral Shores Dr Unit 310 BLDG 7
Jacksonville, FL 32256-2126
Mailing address
10895 Coral Shores Dr Unit 310 BLDG 7
Jacksonville, FL 32256-2126
Phone (813) 479-5052
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117611600 | Medicaid | FL | |
| 116049100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1403 Dunn Ave
Ste 2
Jacksonville, FL 32218
Phone (530) 356-6739
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": "1662076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714089600000",
"number": "1184344640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10895 CORAL SHORES DR UNIT 310 BLDG 7",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322562126",
"telephone_number": "813-479-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10895 CORAL SHORES DR UNIT 310 BLDG 7",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322562126",
"telephone_number": "813-479-5052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR HELPER AT HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-02",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-479-5052"
},
"taxonomies": [
{
"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": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117611600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116049100",
"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 Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.