Organization Active NPI

Tailored Home Care Services LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1225710361
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TAILORED HOME CARE SERVICES LLC
Practice address
4741 Atlantic Blvd Ste D
Jacksonville, FL 32207-1143
Phone
(954) 990-9013
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Claudia Reid
Title
Administrator
Phone
(954) 990-9013

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

4741 Atlantic Blvd Ste D
Jacksonville, FL 32207-1143

Mailing address

4741 Atlantic Blvd Ste D
Jacksonville, FL 32207-1143
Phone (954) 990-9013

National Provider Directory

National Provider Directory

Locations

4741 Atlantic Blvd
Ste D
Jacksonville, FL 32207
Phone (904) 680-1256

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1225710361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 ATLANTIC BLVD STE D",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322071143",
            "telephone_number": "954-990-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 ATLANTIC BLVD STE D",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322071143",
            "telephone_number": "954-990-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILORED HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-990-9013"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 7, 2023; 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.