Organization Active NPI

Ajc Legacy Home Companion Services LLC

  • Homemaker
  • Jacksonville, FL
National Provider Identifier
1184572067
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
AJC LEGACY HOME COMPANION SERVICES LLC
Practice address
15756 Tisons Bluff Rd
Jacksonville, FL 32218-0122
Phone
(904) 535-7955
Fax
(904) 590-6363
NPI assigned
Mar 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Patrina SmithNPI 1053259671
Title
Ownr
Phone
(904) 535-7955

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

15756 Tisons Bluff Rd
Jacksonville, FL 32218-0122

Mailing address

15756 Tisons Bluff Rd
Jacksonville, FL 32218-0122
Phone (904) 535-7955

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": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1184572067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15756 TISONS BLUFF RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322180122",
            "telephone_number": "904-535-7955",
            "fax_number": "904-590-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15756 TISONS BLUFF RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322180122",
            "telephone_number": "904-535-7955",
            "fax_number": "904-590-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJC LEGACY HOME COMPANION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PATRINA",
        "authorized_official_title_or_position": "OWNR",
        "authorized_official_telephone_number": "904-535-7955"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2026; 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.