Hagan Homemaker Companion Service

Primary specialty

Respite CareTaxonomy code 385H00000X

License

234002 Issued in FL

Legal business name

HAGAN HOMEMAKER COMPANION SERVICE

Practice address

6099 Gulf Rd N
Jacksonville, FL 32244-2522

Phone

(904) 545-8002

Fax

(904) 723-1829

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Bessie Elizabeth Hagan

Title

Owner

Phone

(904) 545-8002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1225575095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 GULF RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322442522",
            "telephone_number": "904-545-8002",
            "fax_number": "904-723-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 GULF RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322442522",
            "telephone_number": "904-545-8002",
            "fax_number": "904-723-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGAN HOMEMAKER COMPANION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "BESSIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-545-8002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "234002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Ann Haesler
• Jeffrey Hafendorfer, CRNA
• Brenda Eileen Haga, MS
• Claire Haga, MD
• Hagan Assisted Living Facility
• Chandala Monique Hagans, APRN
• George T Hage-Nassar, MD
• Virginia Lee Hagen, LMHC
• Jackie Floyd Hagenbaumer
• Lee Thomas Hagenbaumer, CRNA

• Respite Care in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.