Organization Active NPI

Professional Senior Advocates of Florida, Inc.

  • In Home Supportive Care Agency
  • Gainesville, FL
National Provider Identifier
1295299014
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PROFESSIONAL SENIOR ADVOCATES OF FLORIDA, INC.
Practice address
101 SE 2ND PL Ste 201M
Gainesville, FL 32601-6413
Phone
(904) 501-5988
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mrs. Charlotte Christine Mikan, CEO PRESIDENTNPI 1922437433
Title
Owner Ceo
Phone
(904) 501-5988

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

101 SE 2ND PL Ste 201M
Gainesville, FL 32601-6413

Mailing address

101 SE 2ND PL Ste 201M
Gainesville, FL 32601-6413
Phone (904) 501-5988

Other identifiers 1

IdentifierTypeStateIssuer
1922437433MedicaidFL

Other names 1

  • My Home Sweet Home Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmikan@rivercityhomehealth.com Direct

National Provider Directory

National Provider Directory
Tax ID family
My Home Sweet Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

101 SE 2nd Pl
Ste 201M
Gainesville, FL 32601
Phone (904) 501-5988

4110 Southpoint Blvd
Ste 110
Jacksonville, FL 32216
Phone (904) 269-8050

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1295299014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SE 2ND PL STE 201M",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016413",
            "telephone_number": "904-501-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SE 2ND PL STE 201M",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016413",
            "telephone_number": "904-501-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SENIOR ADVOCATES OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2023-11-27",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "MIKAN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "904-501-5988",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922437433",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmikan@rivercityhomehealth.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4110 Southpoint Blvd Ste 110",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322160925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "My Home Sweet Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Home Sweet Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.