Individual provider Active NPI

Arecia Patrice Love, NURSING ASSISTANT

  • Nurse's Aide
  • Jacksonville, FL
National Provider Identifier
1194001727
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
236805820793 Issued in MI
Practice address
2445 Dunn Ave Apt 1215
Jacksonville, FL 32218-6903
Phone
(586) 443-3334
Fax
(877) 948-4348
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 236805820793 MI Primary

Addresses

Primary practice location

2445 Dunn Ave Apt 1215
Jacksonville, FL 32218-6903

Mailing address

19207 Packard St
Detroit, MI 48234-3197
Phone (586) 480-1587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
236805820793MIMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Shanny's Home Care LLC Nurse's Aide Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1194001727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19207 PACKARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343197",
            "telephone_number": "586-480-1587",
            "fax_number": "877-948-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 DUNN AVE APT 1215",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186903",
            "telephone_number": "586-443-3334",
            "fax_number": "877-948-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "ARECIA",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "NURSING ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "236805820793",
            "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 Jun 11, 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.