Active NPI
Compassionate Quality Care Homemaker and Companion Service LLC
- Homemaker
- Jacksonville, FL
National Provider Identifier
1255291456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Legal business name
- COMPASSIONATE QUALITY CARE HOMEMAKER AND COMPANION SERVICE LLC
- Practice address
- 8058 Denham Rd E
Jacksonville, FL 32208-2531 - Phone
- (214) 937-1219
- NPI assigned
- Nov 12, 2025
- 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
- Breonshay D King
- Title
- Owner
- Phone
- (214) 937-1219
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Companion | 372600000X | |||
| Homemaker | 376J00000X | Primary | ||
| Respite Care | 385H00000X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
8058 Denham Rd E
Jacksonville, FL 32208-2531
Mailing address
476 Riverside Ave # 622
Jacksonville, FL 32202-4912
Phone (214) 937-1219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123408600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
476 Riverside Ave
Jacksonville, FL 32202
Phone (904) 800-9220
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Homemaker
- Jacksonville, FL
- NPI 1417708298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1255291456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "476 RIVERSIDE AVE # 622",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322024912",
"telephone_number": "214-937-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8058 DENHAM RD E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322082531",
"telephone_number": "214-937-1219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSIONATE QUALITY CARE HOMEMAKER AND COMPANION SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-12",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "BREONSHAY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-937-1219"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123408600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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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 Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.