Organization Active NPI

Genuinely Blessed Hands LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1265191548
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GENUINELY BLESSED HANDS LLC
Practice address
623 Long Branch Blvd
Jacksonville, FL 32206-6252
Phone
(904) 571-7843
NPI assigned
Dec 14, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Shantrell CobbNPI 1932864550
Title
Owner
Phone
(904) 571-7843

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X NU
Home Health Aide 374U00000X NU
Homemaker 376J00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

623 Long Branch Blvd
Jacksonville, FL 32206-6252

Mailing address

623 Long Branch Blvd
Jacksonville, FL 32206-6252
Phone (904) 571-7843

Other identifiers 1

IdentifierTypeStateIssuer
HOMECAREMedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1265191548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 LONG BRANCH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322066252",
            "telephone_number": "904-571-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 LONG BRANCH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322066252",
            "telephone_number": "904-571-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINELY BLESSED HANDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "SHANTRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-571-7843"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOMECARE",
            "state": "FL"
        }
    ],
    "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 Dec 14, 2021; 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.