Organization Active NPI

J & J Home & Community Support Corp

  • In Home Supportive Care Agency
  • Marathon, FL
National Provider Identifier
1245091560
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
J & J HOME & COMMUNITY SUPPORT CORP
Practice address
9141 Overseas Hwy
Unit 2
Marathon, FL 33050-3247
Phone
(786) 409-2722
NPI assigned
Jan 23, 2024
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Jorge Gonzalez
Title
Administrator
Phone
(786) 409-2722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

9141 Overseas Hwy
Unit 2
Marathon, FL 33050-3247

Mailing address

2450 SW 137 Ave
Suite 225
Miami, FL 33175-6332
Phone (786) 409-2722

Other identifiers 1

IdentifierTypeStateIssuer
007205200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
J J Home Community Support Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9141 Overseas Hwy
Unit 2
Marathon, FL 33050
Phone (786) 409-2722

2450 SW 137th Ave
Ste 225
Miami, FL 33175
Phone (786) 409-2722

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1245091560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 SW 137 AVE",
            "address_2": "SUITE 225",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756332",
            "telephone_number": "786-409-2722",
            "fax_number": "786-618-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9141 OVERSEAS HWY",
            "address_2": "UNIT 2",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503247",
            "telephone_number": "786-409-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J HOME & COMMUNITY SUPPORT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-409-2722"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007205200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.