Active NPI
Atlantic Spirit, LLC
- In Home Supportive Care Agency
- Jacksonville, FL
National Provider Identifier
1225793391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ATLANTIC SPIRIT, LLC
- Practice address
- 263 River Hills Dr Ste 2
Jacksonville, FL 32216-8980 - Phone
- (404) 502-2080
- NPI assigned
- Nov 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherry Faulk
- Title
- Owner
- Phone
- (404) 502-2080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
263 River Hills Dr Ste 2
Jacksonville, FL 32216-8980
Mailing address
263 River Hills Dr Ste 2
Jacksonville, FL 32216-8980
Phone (404) 502-2080
Other names 1
- Assisting Hands Home Care Serving Jacksonville Beaches
National Provider Directory
National Provider DirectoryLocations
263 River Hills Dr
Ste 2
Jacksonville, FL 32216
Phone (404) 502-2080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651017600000",
"number": "1225793391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 RIVER HILLS DR STE 2",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168980",
"telephone_number": "404-502-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 RIVER HILLS DR STE 2",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168980",
"telephone_number": "404-502-2080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC SPIRIT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-03",
"last_updated": "2022-04-27",
"certification_date": "2022-04-05",
"status": "A",
"authorized_official_last_name": "FAULK",
"authorized_official_first_name": "SHERRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-502-2080"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Assisting Hands Home Care Serving Jacksonville Beaches",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Assisting Hands Home Care Serving Jacksonville Beaches",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.