Promising Love Personal & Home Care Services L.L.C

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROMISING LOVE PERSONAL & HOME CARE SERVICES L.L.C

Practice address

3006 Ribault Scenic Dr
Jacksonville, FL 32208-2477

Phone

(904) 554-1696

NPI assigned

Nov 16, 2023

Organization subpart

No

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

Authorized official

Name

Shannon EthridgeNPI 1205433943

Title

Owner

Phone

(904) 554-1696

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Ethridge

  • Nurse's Aide
  • Jacksonville, FL
  • NPI 1205433943
  NPD Authorized official

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1235904640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 RIBAULT SCENIC DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082477",
            "telephone_number": "904-554-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 RIBAULT SCENIC DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082477",
            "telephone_number": "904-554-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISING LOVE PERSONAL & HOME CARE SERVICES L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "ETHRIDGE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-554-1696"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle A Prosje, PSYD
• Prosocial Behavioral Health Incorporated

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.