Pure Joy Support Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PURE JOY SUPPORT SERVICES LLC

Practice address

807 1St Ave S Apt 202
Jacksonville Beach, FL 32250-4385

Phone

(213) 371-7857

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Tenara Y Williams JenkinsNPI 1043997919

Title

Owner

Phone

(904) 524-2638

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tenara Williams Jenkins

  • In Home Supportive Care Agency
  • Jacksonville Beach, FL
  • NPI 1043997919
  NPD Authorized official

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1184483984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 1ST AVE S APT 202",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504385",
            "telephone_number": "904-524-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 1ST AVE S APT 202",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504385",
            "telephone_number": "213-371-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE JOY SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS JENKINS",
        "authorized_official_first_name": "TENARA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-524-2638"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.