Active NPI
Assistance Homecare 101
- Home Health Agency
- Jacksonville, FL
National Provider Identifier
1356613160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1000045026
- Legal business name
- ASSISTANCE HOMECARE 101
- Practice address
- 10317 Ripple Rush Dr W
Jacksonville, FL 32257-4764 - Phone
- (904) 619-6331
- NPI assigned
- Feb 8, 2012
- Last updated
- Feb 8, 2012
- 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
- Hazel Jennings
- Title
- Owner
- Phone
- (904) 619-6331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1000045026 | FL | Primary |
Addresses
Primary practice location
10317 Ripple Rush Dr W
Jacksonville, FL 32257-4764
Mailing address
10317 Ripple Rush Dr W
Jacksonville, FL 32257-4764
Phone (904) 619-6331
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328659200000",
"number": "1356613160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10317 RIPPLE RUSH DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322574764",
"telephone_number": "904-619-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10317 RIPPLE RUSH DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322574764",
"telephone_number": "904-619-6331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSISTANCE HOMECARE 101",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "HAZEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-619-6331"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "1000045026",
"primary": true
}
],
"identifiers": [],
"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 Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.